Presenter Disclosure Information In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure to the participants: NAME OF PRESENTERS: Isa Covio MEd, MSSW Christina Brito-Cavarrubio Genobeva Martinez Sister Phylis Peters, MSN Otila Garcia Disclosed no conflict of interest

Texas Department of State Health Services April 3, 2009 Austin, TX Training and Certification of Promotores or Community Health Workers in Texas

Promotor(a) or Community Health Worker Training and Certification Program Programa para Capacitación y Certificación del Promotor(a) o Trabajador(a) Comunitario de Salud

Presenter Disclosure Information In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure to the participants: Isa Covio Disclosed no conflict of interest

Definition of “Promotor(a)” or Community Health Worker A lay member of the community who:  Works either for pay or as a volunteer;  Is associated with the local health care system in both urban and rural settings; and,  Shares ethnicity, language and socioeconomic status with the community members s/he serves. Source: Regional Center for Health Workforce Studies of The University of Texas Health Science Center at San Antonio

Key Activities of “Promotor(a)” or Community Health Worker Provide culturally appropriate health education and information Assist people in receiving the health services they need. Advocate for individual and community health needs. Build individual and community capacity in addressing health issues. Create more effective linkages between communities and the health care system.

Legislative Mandates 77 th Texas Legislature, May 2001  Senate Bill 1051  Senate Bill 751 Types of Certification CHWs Instructors Training Institutions

CHW Certification Two ways to certify Experience Training Recertification 20 CEUs

Competency Areas  Communication skills  Interpersonal skills  Service Coordination skills  Capacity-Building skills  Advocacy skills  Teaching skills  Organizational skills  Knowledge base on specific health issues

Example of Diabetes Prevention Training for a Community Health Worker Harris County Hospital District  Common types of diabetes  Risk factors for developing diabetes.  Signs and symptoms of diabetes  Diabetes prevention

Certified Community Health Workers by Age

Certified Community Health Workers by Gender Certified Community Health Workers by Gender

Certified Community Health Workers by Ethnicity

Educational Level of Certified Community Health Workers

Employment Status of Certified Community Health Workers

Certified Community Health Workers by County

Community Health Worker Training and Certification Program Contact Information Isa Covio, Program Administrator Beatrice Smith, Administrative Assistant 512/