Identifying paracurricular topics - from past research

COMMON THEMES: coded by color as below

• Language Competency
• Health system navigation (UVA and community): services, documentation issues, payment
• Skills training (ongoing): BP, RR, HR, temp, height, weight, glucometer, motivational interviewing
• Health topics: Dental care, Respiratory problems (asthma, COPD), Gynecologic cancer (cervical), heart disease (HTN, HLD), mental health / addiction , Diabetes
• or colon cancer??
• Career Development

Is it possible to represent all of these themes in each lesson?

Thoughts from Burt meeting

• Importance of English classes

• Career development opportunities - CV, resume, etc
• Retraining, skills practice
• UVA Health System Navigation

Thoughts from Spencer/Natasha’s notes:

• lots of enthusiasm, desire for a more organized and active program
• English classes
• lots of experience in foreign health systems (good bridge??)
• inactive program → lapse in skills over time, need continuing experience and practice
• some need for institutional/financial support
• importance of strong leadership and program structure
• some desire to eventually work in healthcare (ex as CNA), could benefit from English and career development help
• Core competencies (VA CHW Task Force): health promotion/prevention, outreach & advocacy, service coordination, health and data collection knowledge, professionalism
• TJ Health District CHW program: basic health knowledge, health promotion, and navigation of care & services
• Promatores Program
• 3 courses: comprehensive, diabetes (grant), breast cancer (grant)
• Outreach events: education, vital signs (BP), mammography referrals, Tdap vaccinations
• Educational enrichment for CHWs - “challenging program… sense of certification” - Hannah Showalter
• need for CHW “support system,” revitalize and incentivize program without financial compensation
• CHW close connections with physicians and pharmacists can help ease referrals
• how to deal with financial/documentation issues

Thoughts from Steven’s research:

• biggest health problems: dental, mental health, diabetes
• barriers to care: language, transportation, documentation

Thoughts from Melissa’s research:

• biggest health problems: diabetes, respiratory, heart disease, cancer, alcohol
• barriers to care: insurance, documentation, language
• top health care providers: UVA, Free Clinic, WIC/Social Services

Thoughts from 2007 Southwood survey (Linda Hemby):

• Top health problems: dental, chronic pain, GI, respiratory, gynecologic
• >70% use UVA for health services
• 7.5% adults, 56% of children have insurance (Medicaid)
• Asthma is a huge problem in children, so is dental
• Adults: dental, resp problems, CV risk factors (HTN, HLD), DM
• lack of awareness of Medicaid coverage, how to work with translators, how to apply for programs
• useful places for interventions: church, laundromats, Latino grocery stores and restaurants, community spaces (ex in Southwood), home visits
• Churches: Word of Faith, Casa del Padre, Iglesia Canaan, Church of the Incarnation