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Effective utilization and evaluation of indigenous health care workers.
  • Published Date:
    1989 Jul-Aug
  • Source:
    Public Health Rep. 104(4):361-368
  • Language:
    English
Filetype[PDF-1.44 MB]


Details:
  • Personal Authors:
    Giblin, P T
  • Keywords:
  • Pubmed ID:
    2502807
  • Pubmed Central ID:
    PMCnull
  • Description:
    The use of indigenous health care workers (IHCWs), who were key elements in community health care programs in the United States in the 1960s, has gone in and out of fashion in subsequent years. The author and his colleagues recently established a service program at Wayne State University's Institute of Maternal and Child Health that employs IHCWs. Characterizations of IHCWs in previous health care programs were reviewed in the process of developing criteria and guidelines for the recruitment, selection, training, employing, and evaluating these workers in the Institute's program. The unique applicability of indigenousness to the delivery of health care services is addressed in terms of the rationale for the use of IHCWs as well as criteria for their success, benefits and problems encountered in the use of these workers, and deficiencies in evaluations of IHCWs. A model of program evaluation, action research, is proposed that assesses the processes and outcomes of providing health services by indigenous paraprofessionals.

  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. Measuring health variables among Hispanic and non-Hispanic children with chronic conditions.
      Personal Author:
      Stein, R E; Jessop, D J;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):377-384
      Description:
      This paper addresses two concerns related to differences in the health status of Hispanic and non-Hispanic children: methodological issues in the measurement of health status across population subgroups and the substantive differences in the health o...
      File Type:
      Filetype[PDF - 1.46 MB]
    2. Initiation of a voluntary certification program for health education specialists.
      Personal Author:
      Wolle, J M; Cleary, H P; Stone, E J;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):396-402
      Description:
      As health education has become a major strategy for addressing current health problems, the need for expertise in health education has increased. Today health education specialists work not only in health agencies and educational institutions but als...
      File Type:
      Filetype[PDF - 1.78 MB]
    3. Neonaticides following "secret" pregnancies: seven case reports.
      Personal Author:
      Saunders, E
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):368-372
      Description:
      Seven neonaticides were reported during a 14-month period in the State of Iowa. This is an alarming number considering that only one such case was reported in the previous year. The majority of cases involved the birth of a live infant to an adolesce...
      File Type:
      Filetype[PDF - 1.08 MB]
    4. Differences in gay men's AIDS risk knowledge and behavior patterns in high and low AIDS prevalence cities.
      Personal Author:
      St Lawrence, J S; Hood, H V; Brasfield, T; Kelly, J A;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):391-395
      Description:
      Several studies have found reductions in acquired immunodeficiency syndrome (AIDS) risk practices among gay men in high AIDS-prevalence cities since the start of the AIDS crisis. Much less is known about risk behavior patterns among gay men in smalle...
      File Type:
      Filetype[PDF - 1.09 MB]
    5. Planned and unplanned home births and hospital births in Calgary, Alberta, 1984-87.
      Personal Author:
      Abernathy, T J; Lentjes, D M;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):373-377
      Description:
      Information collected on all home births in Calgary (Canada) between the years 1984 and 1987, was examined and analyzed according to whether the home birth environment had been planned or unplanned. The two groups were compared to each other and to a...
      File Type:
      Filetype[PDF - 1.08 MB]
    6. AIDS knowledge and attitudes among adults in Vermont.
      Personal Author:
      Kappel, S; Vogt, R L; Brozicevic, M; Kutzko, D;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):388-391
      Description:
      To design a statewide educational campaign, the Vermont Department of Health attempted to measure knowledge about AIDS among residents of the State. During the period November 1986 through January 1987, the authors conducted a telephone survey of non...
      File Type:
      Filetype[PDF - 768.44 KB]
    7. What school children need to learn about injury prevention.
      Personal Author:
      Bass, J L; Mehta, K A; Eppes, B M;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):385-388
      Description:
      Unintentional injuries are the leading cause of death and a major cause of morbidity among school age children. A survey of the educational needs concerning injury prevention of a group of fifth and sixth grade children (ages 10-12) in Holliston, MA,...
      File Type:
      Filetype[PDF - 785.07 KB]
    8. AIDS knowledge and attitudes in the black and Hispanic populations.
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):403-404
      File Type:
      Filetype[PDF - 531.87 KB]
    9. Public Health Rep
      Published:
      Jul-Aug 1989
      File Type:
      Filetype[PDF - 560.03 KB]
    10. PROGRAMS, PRACTICES, PEOPLE
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):405-409
      File Type:
      Filetype[PDF - 971.26 KB]
    11. Rural community hospitals and factors correlated with their risk of closing.
      Personal Author:
      Mullner, R M; Rydman, R J; Whiteis, D G; Rich, R F;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):315-325
      Description:
      The issue of rural hospital closings in the United States in recent years has become of increasing concern to health care policy analysts. Rural communities face unique health needs, necessitating access to local health care. Much has been written ab...
      File Type:
      Filetype[PDF - 1.89 MB]
    12. Prospective study of pneumonia hospitalizations and mortality of U.S. older people: the role of chronic conditions, health behaviors, and nutritional status.
      Personal Author:
      LaCroix, A Z; Lipson, S; Miles, T P; White, L;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):350-360
      Description:
      Mortality and hospitalization rates for pneumonia have increased among older Americans during recent years (1979-86), despite a national commitment to the reduction of premature deaths from pneumonia. A prospective study of deaths and hospitalization...
      File Type:
      Filetype[PDF - 2.54 MB]
    13. Home care for life-supported persons: the French system of quality control, technology assessment, and cost containment.
      Personal Author:
      Goldberg, A I
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):329-335
      Description:
      Home care for persons who require the prolonged use of life-supportive medical technology is a reality in several nations. France has had more than a quarter of a century of experience with providing home care for patients with chronic respiratory in...
      File Type:
      Filetype[PDF - 1.41 MB]
    14. Does the average cost of home health care vary with case mix?
      Personal Author:
      Nyman, J A; Svetlik, M A;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):335-341
      Description:
      The relationship between the average cost of home health care and the case mix of patients served by the home health agency is investigated using 1983 data from Wisconsin's home health care agencies. In contrast to previous work, case mix is shown to...
      File Type:
      Filetype[PDF - 1.37 MB]
    15. Runners' health habits, 1985--"the Alameda 7" revisited.
      Personal Author:
      Macera, C A; Pate, R R; Davis, D R;
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):341-349
      Description:
      Seven health habits were shown to be associated with longevity in a longitudinal study initiated in Alameda County, CA, in 1965. These habits (drinking moderately, exercising regularly, maintaining desirable weight for height, eating breakfast, not e...
      File Type:
      Filetype[PDF - 1.31 MB]
    16. A review of PCP abuse trends and perceptions.
      Personal Author:
      Thombs, D L
      Published:
      1989 Jul-Aug
      Source:
      Public Health Rep. 104(4):325-328
      Description:
      A critical review of epidemiologic literature on the abuse of phencyclidine (PCP) suggests that current perceptions by the public and among members of the health professions and drug treatment communities about abuse of the drug are distorted. Epidem...
      File Type:
      Filetype[PDF - 652.20 KB]
    17. Public Health Rep ; v. 104, no. 4 : Masthead
      Published:
      Jul-Aug 1989
      Source:
      Public Health Rep. 104(4)
      File Type:
      Filetype[PDF - 957.07 KB]
    18. Public Health Rep ; v. 104, no. 4 : table of contents
      Published:
      Jul-Aug 1989
      Source:
      Public Health Rep. 104(4)
      File Type:
      Filetype[PDF - 443.73 KB]
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