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Presented by: Sara Elena Loaiza Founder & Managing Partner Latino Consultants, LLC

Presented by: Sara Elena Loaiza Founder & Managing Partner Latino Consultants, LLC. Lidere de Salud: A Brief Overview of the Promotora Movement. ………………………………………. PBI – HPOC Summit: Promotoras Leading Health Policy Change California State University, Los Angeles January 20, 2010.

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Presented by: Sara Elena Loaiza Founder & Managing Partner Latino Consultants, LLC

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  1. Presented by:Sara Elena Loaiza Founder & Managing PartnerLatino Consultants, LLC Lidere de Salud:A Brief Overview of thePromotoraMovement ……………………………………….. PBI – HPOC Summit: Promotoras Leading Health Policy Change California State University, Los Angeles January 20, 2010

  2. Access to quality health care remains elusive for a majority of Hispanics. Lack of insurance coverage, poor quality care at public facilities, language barriers, and under-representation in research programs threaten the health and well being of many Hispanics. The result is a larger population predisposed to life-threatening diseases. Congressional Hispanic Caucus Institute 2000 Conference Report 2

  3. Overview… • Cultural Introduction • Latino Health Needs a Political Voice…NOW! • Filling The Health VOID • Areas of Promotora Health Education • Promotora Programs: A Brief Historical Perspective • Who are Promotoras? • Promotora Training 3

  4. Cultural Terms… • Lidere de Salud–Health leader • Confianza–Trust • Ganas– • From the heart; with sincerity or with strong desire, passion,confidence • ‘Spanglish’ Example: • “In order to doPromotorawork, you have to have ¡Ganas!” • Charla or Platicas– • A form of the Spanish verb charlar, to talk informally or chat • Taller (es) [pronounced tie-YER]– • Community workshop(s) / class(es) provided by Promotoras ……………………………………….. 4

  5. The Health of Latinos Needs a Political Voice…NOW! • Latinos are disproportionately affected among preventable diseases • Diabetes and AIDS/HIV • 500,000 Latinos have been diagnosed with asthma • 200,000 are Children • Nearly one in five Latino adults are over the age of 50 (19.7%) and have diabetes • Latino’s are the fastest aging population in the country • 1 in 2 women and 1 in 4 men over age 50 will experience an osteoporotic fracture in their lifetime • Of those with hip fractures, 1 in 5DIE, and the same number end up in a nursing home within a year of the fracture • 48% of California Latino adults are overweight • 23% of California Latino adults are obese • Source: California data – California Behavioral Risk Factor Survey, 2002 data. Survey Research Group, Cancer Surveillance Section, • California Department of Health Services, 2002. and Centers for Disease Control and Prevention. Behavior Risk Factor Surveillance • System, 2001. 5

  6. The linguistically isolated Those with lower education levels The uninsured or underinsured The underserved Those unfamiliar with how to access care in the United States Lower wage earners Those in (possibly) unsafe living conditions Source: California Institute for County Government Promotoras Serve A Void For… 6

  7. Important Areas of Promotora Health Education… • Asthma • Diabetes • Leadership • Maternal Child Health • Nutrition and Exercise • Osteoporosis • Reproductive Health 7

  8. A Historical Perspective … • 1st documented Promotora model – China • After the Chinese Revolution of 1949 • Mao Tse-Tung instituted the “Barefoot Doctor Program” • Trained health care workers,mostly peasants, many of whom couldn't afford shoes • Mission:Take primary health care to remote rural areas where there were no doctors • Nutrition, Vaccinations, and Sanitation • 1950's – 1960’s: Lay Health Promoter programs flourished throughout Latin America and California. 8

  9. What Is A Promotora?… “A Continuum”Educator, Peer Counselor, Community Health Worker, Outreach Worker, Advocate, Case Manager, Community Liaison and Community Organizer… • Members of their communities • Share in their community’s stake to reduce barriers • Culturallyrelevant health/information educators • Linguistically competent • Culturally sensitive • Highly trained “Lider de Salud” • Providers of direct services or materials • Build individual and community capacity • Advocate for community health care and social needs • Feel their work is a “calling” 9

  10. Promotora Training… • Variances among programs • Structure of curriculum varies • Duration of training varies • Most training programs provide full range of topic education • Most vary in regard to specific topic offered • Typically from 1 of 7 health areas • Most provide a Leadership Training component • Some offer internship opportunities • Promotora Networks • Provide Advocacy & Policy education/training and opportunities • And, most Promotoras will tell you… • “The more formal training, the better!” 10

  11. ¡Mil Gracias!

  12. Today’s Discussion • What key role (s) do Promotoras play in gaining access and bringing messages to underserved communities? • What proactive approaches do Promotoras use to impact health policy on both a local and state level? • What are the various ways people attending this summit can support Promotoras in civic engagement and involvement?

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