1. Agencies and Refferal Procedures For Communicable and Chronic Diseases Group 4

2. Recognition of the Community Health WorkForce  CHWs’ Roles can be organized along a service continuum that ranges from broad, population-based community-health management at on end(i.e., care coordination and case management for chronic conditions). Along that continuum four main types of interventions by CHWs Exist: Advocacy, access, education, and care support. Exhibit 2 summarizes the rules and responsibilities corresponding to each

3. Exhibit 2: Categories of CHW Interventions by Roles and Responsibilities  Advocacy Roles  Promote advocacy by building individual and community capacity for change Responsibilities  Collect data related to community health needs  Advocate for enforcement or development of public and/or institutional policies that address individual or community needs  Engage community members to build knowledge and skills for self- directed change and community development

4. Exhibit 2: Categories of CHW Interventions by Roles and Responsibilities  Access Roles  Promote access by facilitating effective linkages between the community and health system on the basis of their personal relationship with and knowledge of the community Responsibilities  Conduct case finding in the community and home visits to provide limited clinical services to persons identified as being at-risk  Assess client eligibility for benefits and services and provide assistance with enrollment  Connect individuals to the health system/ medical homes  Assist with timely access to the health system through referrals and coordination of care  Provide health-related transportations and other social supports that are barriers to access to care

5. Exhibit 2: Categories of CHW Interventions by Roles and Responsibilities  Education Roles  Provide health education and information by imparting knowledge and developing critical reasoning and decision-making skills Responsibilities  Teach basic concepts of health promotion and disease prevention  Employ behavior change strategies that promote and encourage positive behavior change  Disseminate educational resources to support health promotion and chronic disease self-management

6. Exhibit 2: Categories of CHW Interventions by Roles and Responsibilities  Care Support Roles  Support delivery of clinical care services by providing direct care support to individuals or enabling services that facilitate access to quality care Responsibilities  Provide routine screenings and testing  Provide direct medical translation and interpretation to patients during receipt of care services  Provide informal counseling and / or social support (individually or in group)  Educate medical and social providers about community needs

7. The Community Health Workers Duties  The duties of the community health workers are often responsible for the health of the medical institutions. This often includes the uninsured, migrant workers and immigrants. Those served include people of all different ethnicities and cultural backgrounds  Those that work in this field may go by man different titles, including, community health adviser, health advocate, community health representatives, health promoter or health educator  They also provide such as First aid and some types of health screening

8. National Breast and Cervical Cancer Early Detection Program  Breast Cancer Symptoms o Nipple discharge or retraction of the nipple o Enlargement of one breast o Dimpling of breast surface o And “orange peel” texture to the skin o Vaginal Pain o Unintentional weight loss o Enlarged lymph nodes in the armpit o Visible veins on the breast

10. National Breast and Cervical Cancer Early Detection Program  Cervical Cancer symptoms o Abnormal vaginal bleeding o Longer menstrual periods o Unusual dischard of vagina o Pain during sex

12. Please get ¼ Sheet of paper

13.  1-4.) Give The 4 Categories of Interventions

14. 5-6.) What is the 2 Diseases that we discussed today

15. 7-11.) Give 4 Symptoms of Breast Cancer

16. 11-14.) Give 4 Symptoms of Cervical Cancer

17. 15.) What is the Topic we discussed today