CHWs and NCDs: Case Studies

Latino Health Access, Santa Ana, Ca

• Promotora - led diabetes program

• Community organizing strategies: nutrition classes; exercise classes; support groups; securing land and building a park and community center

• Their model works: LHA has better health outcomes than those from nearby hospitals

CHWs and NCDs: Case Studies

Last Mile Health, Liberia• Frontline health workers in

extremely rural/ remote locations

• Heart disease program: frontline health workers give prevention education, screen for high blood pressure (and signs of heart failure), explain medications, help with drug adherence

• Just started program in late 2013, but planning on scaling it in the next few months

• Serve as a blueprint for CHW programs beginning to tackle NCDs

• Content will equip CHWs to: • Identify diseases• Make appropriate referrals• Case manage• Address complications• Help with drug adherence• Educate about NCDs• Prevent NCDs

The New Where There Is No Doctor: new NCD content for CHWs

• Grounds health information in the context of the social and political causes of poor health.

Request for Field-Test partners for new NCD content

• Grassroots Field-Testing ensures that content is accessible, relevant, and speaks to the conditions of low-resource communities.

• Currently developing a Diabetes module.

• Field-Testing targeted for fall of 2014

• Please let me know if your organization might be interested in participating!Sarah Shannon

Executive Directorsarahs@hesperian.org

CHWs and NCDsDiscussion Group Questions

How are your CHW programs already trying to address NCDs? What role do the CHWs have? What have been the challenges? What is working well?

How could CORE group members’ programs integrate NCD work into existing work with CHWs? How feasible would this be? What would be the benefits? What would be the challenges?