Case Studies

Cross-training Doulas as Promotoras

In 2009, Healthy Family Initiatives (HFI), a Houston, Texas, nonprofit organization, received a three-year Health Resources and Services Administration grant to study and replicate HealthConnect One, an existing community-based doula program. The grant provided financial support for the doulas in the project to receive certification as community health workers, or promotoras. This cross-training occurred in […]

CREA Results Mobile Health Unit

The Ventanilla de Salud, a program of the Mexican government trough the Border Health Commission, provides culturally competent health and social services and information at the 50 Mexican consulates across the United States. Mexican nationals living in the U.S. can access health information, counseling, and referrals at a Ventanilla de Salud. Through the Ventanilla de […]

The Benefits of an Academic Affiliation with a Nonprofit Promotores Program

Strengthening families in their core capacities to be productive and contributing citizens, raising healthy and academically prepared children is an important societal goal. During the early 1990s, because child abuse was recognized and often being spoken of as a “national epidemic,” the United States was experiencing an explosion of programs introduced to impact and hopefully […]

El Sol Neighborhood Educational Center

Setting and background—Describe the location of the program or project and the community’s characteristics, including local health and social conditions. Include community assets, needs, and unique challenges. El Sol Neighborhood Educational Center (El Sol) was founded in 1991 as a grassroots nonprofit organization with the mission to serve the educational needs of low-income, non-English-speaking individuals. […]

Chula Vista Community Collaborative’s Promotora Program Expansion

The Chula Vista Community Collaborative (CVCC) was established in 1993 and is located in Chula Vista, California, in the San Diego County region. The CVCC works to support and strengthen families through a network of five family resource centers. In 2000, the CVCC was involved in a funded community outreach project that gave birth to […]

Development of the Promotores Academy

The Chula Vista Community Collaborative (CVCC) was established in 1993 and is located in Chula Vista, California, in the San Diego County region. The CVCC works to support and strengthen families through a network of five family resource centers. The CVCC has had a promotor/a program component since 2000. A review of the program in […]

Key Considerations for Creating Evaluation Metrics for CHW Programs

Importance of Evaluating Tracking evaluation metrics as part of the planning and implementation of a program can demonstrate the value of including a community health worker (CHW) as part of the intervention by monitoring successes and ensuring quality of program delivery. Process and outcome evaluation may also improve the integration of the CHW into a […]

Community Health Worker Integration: Best Practices and Lessons Learned from Hypertension Self-Management

Community Health Workers as Part of the Hypertension Self-Management Care Team Nearly 30 percent of adults in the United States have hypertension, which places them at a greater risk for heart disease and stroke, the first and fifth leading causes of death.[i][ii] Infrequent provider interactions are insufficient to adequately support behavior change among clients self-managing […]

“If you didn’t write it down it didn’t happen!” Using Participatory Evaluation to Tell CHW Stories

Promotora Stories from the Arizona Sonora Border Since the launch of Arizona’s first promotores program, Comienzo Sano (Health Start) in 1987, researchers in Southern Arizona have collaborated with Arizona Border communities to collaboratively evaluate promotores programs. Comienzo Sano provided prenatal outreach and education to women in Yuma County, and is now the single promotores program […]