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Empowering CHWs for Social Change: Insights from Community Capacitation Center

Explore the history, impact, and best practices of CHW training at the CCC, focusing on skill development and popular education methods for social change. Learn how CHWs can play diverse roles in community health promotion.

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Empowering CHWs for Social Change: Insights from Community Capacitation Center

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  1. Preparing Community Health Workers for Their Role as Agents of Social Change: Experience of the Community Capacitation Center Beth Poteet, Teresa Rios-Campos, and Noelle Wiggins

  2. Objectives By the end of the session, participants will be able to: Describe the history, current status, and outcomes of the CCC model for training CHWs Discuss implications of the CCC model for other CHW training programs that wish to preserve CHWs’ role as agents of social change

  3. Agenda • Introduction • Brainstorm: How does training influence CHW roles? • Sociodrama • Background on CHW training • CHW Training at the CCC • Best Practices in CHW Training • Brainstorm: Applications

  4. Brainstorm What do you imagine? How does training influence the roles that CHWs play?

  5. History of CHW training programs • Documented examples in the US date to the 1960s • Until 1990s, most US CHWs were trained on-the-job • Drawbacks of on-the-job training: • no credential or academic credit • not portable • lack of standardization • insufficient time to build skills and knowledge • CHWs lacked opportunities to build peer networks

  6. History of CHW training programs • Early to mid-1990s: trend towards creation of training centers • Examples of CHW training centers: • Community Health Education Center, a project of the Boston City Health Dept. (1993); • Community Health Works, a joint project of San Francisco State University and City College of San Francisco (1994); • Community Capacitation Center, a project of the Multnomah County Health Dept., Portland (2000).

  7. Best and Promising Practices in CHW Training

  8. The Community Capacitation Center • A program of the Multnomah County Health Dept. • Has existed formally for 10+ years • Mission: To support communities to identify and address their own most pressing health issues • As well as providing CHW training, we also: • Conduct participatory research • Teach popular education • Do culturally specific health promotion • Lead the Health Promotion Change Process at MCHD

  9. CHW Training at the CCC: Roots Noelle involved in training CHWs in El Salvador during the 1980s Both Tere and Noelle employed by La Familia Sana Program in the early 1990s. CHWs from LFS trained other CHWs around the state. Influenced by CHW training centers in other places, such as CHEC in Boston

  10. CHW Training at theCCC: Curriculum Based on 8 skills clusters identified in the 1998 Natl. Comm. Health Advisor Study Skills- as well as content-focused Can confer academic credit Approved by Oregon Health Authority Prepares CHWs to play a full range of roles

  11. CHW Training at the CCC: Popular Education • A methodology and a philosophy for teaching and organizing • Developed in response to conditions of inequity in Latin America, the US, and around the world • Creates settings in which people most affected by inequity can: • Bring out their own knowledge • Build on their knowledge in community • Use their knowledge to create a more just and equitable society

  12. CHW Training at theCommunity CapacitationCenter: Outcomes • More than 95% of participants surveyed since 2007 state that participation in training enhanced their ability to promote health in their communities. • Two CBPR studies suggest that combination of content and methodology equip CHWs to effectively promote health in their communities. • Participants say training enabled them to: • Be leaders and show others they are capable • Do advocacy • Realize how much they knew • Teach using popular education

  13. Best and Promising Practices in CHW Training

  14. CHW Training at the CCCCurrent Status Participating with OHA to create standards for certification of CHW and approval of training programs Licensing our curriculum to other groups around the state Creating, along with partners like the Urban League of Portland, culturally specific versions of our curriculum By March of 2014, we will have trained 150 of the 300 CHWs called for in Oregon’s Medicaid Waiver with our state-approved curriculum, titled, “We Are Health.”

  15. RecommendationsFor creating and implementing CHW curricula Include both skill development and training on health issues Ground curricula in popular education Involve experienced CHWs in developing and facilitating the curriculum Prepare CHWs to play a wide range of roles

  16. Applications How can you apply what you have learned in your work with CHWs or as a CHW?

  17. For more information, visit our website at: Web.multco.us/ health/community-capacitation-center Thank you!

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