ABSTRACT

The relationship between marginalization and health is clear, those in marginalized communities suffer poorer and worse health outcomes than those who are not. Addressing health determinants that affect vulnerable communities is sometimes best done when the influence of trusted and respected people providing outreach, assessments and intervention is present. The purpose of this article is to share the process of effectively working with community health workers (CHWs) in a marginalized community under the framework of community based participatory research (CBPR). This policy brief will discuss an intervention where CHWs participated in a community health assessment (CHA), the impact of the CHA, lessons learned and policy implications on the use of CHWs as research partners [or co-researchers] when working in a marginalized community.

摘要

边缘化与健康之间的关系是明确的，边缘化社区的人比没有边缘化社区的人的健康状况更糟，甚至更糟。当存在值得信赖和受人尊敬的人们提供宣传，评估和干预的影响时，解决影响脆弱社区的健康决定因素有时是最好的选择。本文的目的是在基于社区的参与性研究（CBPR）的框架下，与处于边缘化的社区中的社区卫生工作者（CHW）有效地共享工作。本政策简报将讨论社区居民在社区边缘化评估中的干预措施，CHA的影响，经验教训以及在边缘化社区工作中将CHW用作研究合作伙伴[或共同研究者]的政策影响。 。