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Edith A Parker - One of the best experts on this subject based on the ideXlab platform.

  • addressing social determinants of Health through community based participatory research the east side village Health Worker partnership
    Health Education & Behavior, 2002
    Co-Authors: Amy J Schulz, Barbara A Israel, Edith A Parker, Alex J Allen, Maggie Floyd Decarlo, Murlisa Lockett
    Abstract:

    The authors describe the use of a stress process model by the East Side Village Health Worker Partnership (ESVHWP), a project of the Detroit Community-Academic Urban Research Center, as a framework for understanding social determinants of Health. Specifically, the authors describe the development by the ESVHWP Steering Committee of a context-specific stress process model for east side Detroit residents. The authors examine data from in-depth interviews to illuminate actions taken by community members to reduce stressors or minimize their impact on Health. Finally, the authors describe the use of this context-specific stress process model and data gathered regarding actions to address community stressors to inform the development of interventions by the ESVHWP to reduce stressors or strengthen the conditioning factors that reduce the impact of stress on Health. On the basis of these results, the authors discuss opportunities and challenges for partnership approaches to addressing social determinants of Health in urban communities.

  • the east side village Health Worker partnership integrating research with action to reduce Health disparities
    Public Health Reports, 2001
    Co-Authors: Amy J Schulz, Barbara A Israel, Edith A Parker, Murlisa Lockett, Yolanda Hill, Rochelle Wills
    Abstract:

    This article describes the work of the East Side Village Health Worker Partnership as a case study of an initiative that seeks to reduce the disproportionate Health risks experienced by residents of Detroit's east side. The Partnership is a community-based participatory research and intervention collaboration among academia, public Health practitioners, and the east side Detroit community. The Partnership is guided by a steering committee that is actively involved in all aspects of the research, intervention, and dissemination process, made up of representatives of five community-based organizations, residents of Detroit's east side, the local Health department, a managed care provider, and an academic institution. The major goal of the East Side Village Health Worker Partnership is to address the social determinants of Health on Detroit's east side, using a lay Health advisor intervention approach. Data collected from 1996 to 2001 are used here to describe improvements in research methods, practice activities, and community relationships that emerged through this academic-practice-community linkage.

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and co...

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and considering the differences between rural and urban settings when designing a Health education intervention.

Amy J Schulz - One of the best experts on this subject based on the ideXlab platform.

  • addressing social determinants of Health through community based participatory research the east side village Health Worker partnership
    Health Education & Behavior, 2002
    Co-Authors: Amy J Schulz, Barbara A Israel, Edith A Parker, Alex J Allen, Maggie Floyd Decarlo, Murlisa Lockett
    Abstract:

    The authors describe the use of a stress process model by the East Side Village Health Worker Partnership (ESVHWP), a project of the Detroit Community-Academic Urban Research Center, as a framework for understanding social determinants of Health. Specifically, the authors describe the development by the ESVHWP Steering Committee of a context-specific stress process model for east side Detroit residents. The authors examine data from in-depth interviews to illuminate actions taken by community members to reduce stressors or minimize their impact on Health. Finally, the authors describe the use of this context-specific stress process model and data gathered regarding actions to address community stressors to inform the development of interventions by the ESVHWP to reduce stressors or strengthen the conditioning factors that reduce the impact of stress on Health. On the basis of these results, the authors discuss opportunities and challenges for partnership approaches to addressing social determinants of Health in urban communities.

  • the east side village Health Worker partnership integrating research with action to reduce Health disparities
    Public Health Reports, 2001
    Co-Authors: Amy J Schulz, Barbara A Israel, Edith A Parker, Murlisa Lockett, Yolanda Hill, Rochelle Wills
    Abstract:

    This article describes the work of the East Side Village Health Worker Partnership as a case study of an initiative that seeks to reduce the disproportionate Health risks experienced by residents of Detroit's east side. The Partnership is a community-based participatory research and intervention collaboration among academia, public Health practitioners, and the east side Detroit community. The Partnership is guided by a steering committee that is actively involved in all aspects of the research, intervention, and dissemination process, made up of representatives of five community-based organizations, residents of Detroit's east side, the local Health department, a managed care provider, and an academic institution. The major goal of the East Side Village Health Worker Partnership is to address the social determinants of Health on Detroit's east side, using a lay Health advisor intervention approach. Data collected from 1996 to 2001 are used here to describe improvements in research methods, practice activities, and community relationships that emerged through this academic-practice-community linkage.

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and co...

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and considering the differences between rural and urban settings when designing a Health education intervention.

Rose Hollis - One of the best experts on this subject based on the ideXlab platform.

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and co...

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and considering the differences between rural and urban settings when designing a Health education intervention.

Barbara A Israel - One of the best experts on this subject based on the ideXlab platform.

  • addressing social determinants of Health through community based participatory research the east side village Health Worker partnership
    Health Education & Behavior, 2002
    Co-Authors: Amy J Schulz, Barbara A Israel, Edith A Parker, Alex J Allen, Maggie Floyd Decarlo, Murlisa Lockett
    Abstract:

    The authors describe the use of a stress process model by the East Side Village Health Worker Partnership (ESVHWP), a project of the Detroit Community-Academic Urban Research Center, as a framework for understanding social determinants of Health. Specifically, the authors describe the development by the ESVHWP Steering Committee of a context-specific stress process model for east side Detroit residents. The authors examine data from in-depth interviews to illuminate actions taken by community members to reduce stressors or minimize their impact on Health. Finally, the authors describe the use of this context-specific stress process model and data gathered regarding actions to address community stressors to inform the development of interventions by the ESVHWP to reduce stressors or strengthen the conditioning factors that reduce the impact of stress on Health. On the basis of these results, the authors discuss opportunities and challenges for partnership approaches to addressing social determinants of Health in urban communities.

  • the east side village Health Worker partnership integrating research with action to reduce Health disparities
    Public Health Reports, 2001
    Co-Authors: Amy J Schulz, Barbara A Israel, Edith A Parker, Murlisa Lockett, Yolanda Hill, Rochelle Wills
    Abstract:

    This article describes the work of the East Side Village Health Worker Partnership as a case study of an initiative that seeks to reduce the disproportionate Health risks experienced by residents of Detroit's east side. The Partnership is a community-based participatory research and intervention collaboration among academia, public Health practitioners, and the east side Detroit community. The Partnership is guided by a steering committee that is actively involved in all aspects of the research, intervention, and dissemination process, made up of representatives of five community-based organizations, residents of Detroit's east side, the local Health department, a managed care provider, and an academic institution. The major goal of the East Side Village Health Worker Partnership is to address the social determinants of Health on Detroit's east side, using a lay Health advisor intervention approach. Data collected from 1996 to 2001 are used here to describe improvements in research methods, practice activities, and community relationships that emerged through this academic-practice-community linkage.

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and co...

  • detroit s east side village Health Worker partnership community based lay Health advisor intervention in an urban area
    Health Education & Behavior, 1998
    Co-Authors: Edith A Parker, Amy J Schulz, Barbara A Israel, Rose Hollis
    Abstract:

    In recent years, there have been few reports in the literature of interventions using a lay Health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community Health Worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay Health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for Health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a Health education intervention, and the importance of recognizing and considering the differences between rural and urban settings when designing a Health education intervention.

Till Barnighausen - One of the best experts on this subject based on the ideXlab platform.

  • household coverage of swaziland s national community Health Worker programme a cross sectional population based study
    Tropical Medicine & International Health, 2017
    Co-Authors: Pascal Geldsetzer, Maria Vaikath, Janwalter De Neve, Thomas J Bossert, Sibusiso Sibandze, Till Barnighausen
    Abstract:

    OBJECTIVES To ascertain household coverage achieved by Swaziland's national community Health Worker (CHW) programme and differences in household coverage across clients' sociodemographic characteristics. METHODS Household survey from June to September 2015 in two of Swaziland's four administrative regions using two-stage cluster random sampling. Interviewers administered a questionnaire to all household members in 1542 households across 85 census enumeration areas. RESULTS While the CHW programme aims to cover all households in the country, only 44.5% (95% confidence interval: 38.0% to 51.1%) reported that they had ever been visited by a CHW. In both uni- and multivariable regressions, coverage was negatively associated with household wealth (OR for most vs. least wealthy quartile: 0.30 [0.16 to 0.58], P  secondary schooling vs. no schooling: 0.65 [0.47 to 0.90], P = 0.009), and positively associated with residing in a rural area (OR: 2.95 [1.77 to 4.91], P < 0.001). Coverage varied widely between census enumeration areas. CONCLUSIONS Swaziland's national CHW programme is falling far short of its coverage goal. To improve coverage, the programme would likely need to recruit additional CHWs and/or assign more households to each CHW. Alternatively, changing the programme's ambitious coverage goal to visiting only certain types of households would likely reduce existing arbitrary differences in coverage between households and communities. This study highlights the need to evaluate and reform large long-standing CHW programmes in sub-Saharan Africa.

  • harmonizing community based Health Worker programs for hiv a narrative review and analytic framework
    Human Resources for Health, 2017
    Co-Authors: Pascal Geldsetzer, Maria Vaikath, Janwalter De Neve, Till Barnighausen, Chantelle Boudreaux, Roopan Gill, Thomas J Bossert
    Abstract:

    Background Many countries have created community-based Health Worker (CHW) programs for HIV. In most of these countries, several national and non-governmental initiatives have been implemented raising questions of how well these different approaches address the Health problems and use Health resources in a compatible way. While these questions have led to a general policy initiative to promote harmonization across programs, there is a need for countries to develop a more coherent and organized approach to CHW programs and to generate evidence about the most efficient and effective strategies to ensure their optimal, sustained performance.

  • provider payment methods and Health Worker motivation in community based Health insurance a mixed methods study
    Social Science & Medicine, 2014
    Co-Authors: Till Barnighausen, Paul Jacob Robyn, Aurelia Souares, Adama Traore, Brice Wilfried Bicaba, Ali Sie, Rainer Sauerborn
    Abstract:

    In a community-based Health insurance (CBHI) introduced in 2004 in Nouna Health district, Burkina Faso, poor perceived quality of care by CBHI enrollees has been a key factor in observed high drop-out rates. The poor quality perceptions have been previously attributed to Health Worker dissatisfaction with the provider payment method used by the scheme and the resulting financial risk of Health centers. This study applied a mixed-methods approach to investigate how Health Workers working in facilities contracted by the CBHI view the methods of provider payment used by the CBHI. In order to analyze these relationships, we conducted 23 in-depth interviews and a quantitative survey with 98 Health Workers working in the CBHI intervention zone. The qualitative in-depth interviews identified that insufficient levels of capitation payments, the infrequent schedule of capitation payment, and lack of a payment mechanism for reimbursing service fees were perceived as significant sources of Health Worker dissatisfaction and loss of work-related motivation. Combining qualitative interview and quantitative survey data in a mixed-methods analysis, this study identified that the declining quality of care due to the CBHI provider payment method was a source of significant professional stress and role strain for Health Workers. Health Workers felt that the following five changes due to the provider payment methods introduced by the CBHI impeded their ability to fulfill professional roles and responsibilities: (i) increased financial volatility of Health facilities, (ii) dissatisfaction with eligible costs to be covered by capitation; (iii) increased pharmacy stock-outs; (iv) limited financial and material support from the CBHI; and (v) the lack of mechanisms to increase provider motivation to support the CBHI. To address these challenges and improve CBHI uptake and Health outcomes in the targeted populations, the Health care financing and delivery model in the study zone should be reformed. We discuss concrete options for reform based on the study findings.