The main criteria for differentiation between governmental, quasi-governmental and voluntary health agencies are the funding sources and system, subjects of administration. Their common aim is to develop a community’s ability to solve the health-related issues effectively. Governmental agencies build up an inherent sector of the entire governmental structure, managed by the state officials and funded by tax dollars. Quasi-governmental agencies represent a mixed form of administration, that comprises some official tasks and responsibilities, partially governmental funding, but at the same time are able to operate independently. As for the nongovernmental health agencies, they receive their donations only from private sources and act without any control from the government. No governmental interference at all can be explained by the fact, that they are usually founded to fill the unmet needs in the community.
Risk Screening for Cardiovascular Disease and Diabetes in Latino Migrant Farmworkers: A Role for the Community Health Worker.
The latest study, conducted by Thomson, Snyder, Burt, Greiner and Luna (2015), aimed to compare the levels of medical and health competence of the community health workers (CHWs) and registered nurses (RNs), who were to test the risk of of cardiovascular disease (CVD) among the Latino migrant workers in the USA with the help of the ADA diabetes risk and non-laboratory tools. The researchers were interested, whether a regular Latino CHW can examine and identify the risk levels with the same accuracy and correctness as RNs do. Due to the lack of equipment and excessive financial needs for delivery of the professional medical care, it was necessary to prove, that a CHW could deliver the relevant knowledge scores, positive clinical outcomes and high-quality health education of the local community.
According to the results of the current studies, two groups of medical workers (CHWs and RNs) obtained quite similar results in their testing. The CHWs, for example, identified fourteen farmworkers with low risk of CVD, six patients with moderate scores and four people, who were at high risk. The data, provided by RNs, were exactly the same and all numbers and statistical figures were very close and almost equal. This fact serves as a reliable evidence for the high competence and professional accuracy of the CHWs, who usually get a limited education and orientation to provide the basic health services. Moreover, the Latino CHWs had less barriers to access and approach the studied audience of the Latino migrant workers in the USA, because they were primarily not viewed as outsiders and also an interpreter was not not needed during the procedure.
As for me, I will recommend such a program of utilizing the CHWs to GVAHEC, because it has a lot of advantages and allows to do realize the project faster and with less financial expenses. Of course, some more serious operations and deeper intervention would require professional medical representatives, but CHWs are able to provide a high-quality and effective screening of a number of diseases.
As for the current and coming demographic changes, I do not consider the significant shift in the population diversity to impact and complicate the entire health care system and education. There might be some obstacles of cultural and linguistic character, because people with different ethnical and national background conceptualize the world differently and also it would be rather a challenging task to deliver the most important issues to such a diverse community. Therefore, a notion of corporate culture and some universal system of health knowledge are to be created. Another demographic change, which will significantly impact the delivery of health education, is the aging of the nation, because older people are less capable and need enough of constant health care. Due to the eventual quantitative unbalance between young and older people in the society, it would be difficult to efficiently and sufficiently deliver the health education. Thus, some new technologies and mechanization are needed.
Public health setting seems to be the most effective strategy in the delivery of health education due to its large scope and various possibilities of interaction, but at the same time the worksite setting has recently shown positive results and significant achievements in this respect. People are mostly interested in effective setting of their own private life, building a healthy family and working for enough money to organize their high-quality life. Workplace is the second important place in one’s life after home and therefore, when getting and participating in different health programs during their working process and even getting some more opportunities for their family members, people start being actively involved in the whole health educational process.
Describe the role of health advocacy in HEHP. How does CHES do this? Define three specific competencies. (About one paragraph)
The primary task and objective of any health education specialist is to approach a person, effectively deliver the medical data and professionally promote health care, rights of the patient in order to improve the overall health policy and education. This service of promotion and protection of health care information is usually called health advocacy. Health Education and Health Promotion (HEHP) journal provides highly recommended and reliable scholarly sources to improve the level of health literacy among the community. Health advocacy is the primary goal of this publication and presents it as a competent database, which comprises different aspects of health sciences. As for the Certified Health Education Specialist (CHES), this tool delivers the health knowledge in a number of areas, including such competencies as planning of health education, research and evaluation of the health education, practical implementation of the health education and others.
