Empowering Underserved Communities in Southern Puerto Rico: A Formal Training Program in Community Health Promotion

J Community Health. 2024 Oct;49(5):887-899. doi: 10.1007/s10900-024-01346-5. Epub 2024 Apr 4.

Abstract

Community health promotion offers a potential solution to persistent healthcare challenges, with community health workers playing a pivotal role. The Community Training Institute for Health Disparities (CTIHD) implemented a problem-solving curriculum in Community Health Promotion, integrating a competency-based learning model through two courses: Introduction to Community Health Promotion and Design of an Action Plan for the Promotion of Community Health. Each course comprised ten three-hour sessions, featuring pre/post-tests, evaluations, and a cognitive debriefing. Knowledge change was assessed using pre/post-test scores among 27 community leaders from southern Puerto Rico. Cohort 1 and Cohort 2 demonstrated an overall retention rate of 62.6% and 96.7%, respectively. Although differences in knowledge gained between cohorts and courses weren't statistically significant, a trend toward increased knowledge was noted. Cohort 1 experienced a 22% knowledge increase in Course 1 and a 24% increase in Course 2. Cohort 2 demonstrated a 41% knowledge increase in Course 1 and a 25% increase in Course 2. The CTIHD's Community Health Promotion Program has made significant strides in elevating awareness and knowledge, marking a positive step toward reducing health disparities and fostering healthier, empowered communities in southern Puerto Rico.

Keywords: CBPR; CHW; Capacitation; Community leaders; Health promotion; Implementation.

MeSH terms

  • Adult
  • Community Health Workers* / education
  • Community Health Workers* / organization & administration
  • Curriculum
  • Empowerment
  • Female
  • Health Promotion* / methods
  • Health Promotion* / organization & administration
  • Humans
  • Male
  • Medically Underserved Area
  • Middle Aged
  • Puerto Rico