Embedding Care in Communities: Mixed- Methods Evaluation of a Community Health Worker Training in Rural Haiti

Online Publication Date:
July 6, 2022
Publication Status:
Published Article MUSE Link:
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**Publsihed in Progress in Community Health Partnerships (PCHP) 17.2. All rights reserved.**

Background: Community Health Workers (CHW) are valuable members within the communities they serve and increase access to healthcare by garnering the trust of their fellow neighbors, providing services including facilitating access to care, and improving the quality and cultural competence of service delivery. In Southern Haiti, there is a healthcare provider shortage with one doctor or nurse per 3,000 persons. CHWs are critical to help close the gap of the lack of access to care and facilitate the provision of basic healthcare. Objectives: To describe the CHW training initiative at capracare, a community-based health care provider in rural Haiti, using survey and focus groups results highlighting key findings and implications for the CHW initiative.
Methods: A mixed-method approach was used to evaluate capracare’s CHW Training program. Focus groups were conducted that documented the lived experience of CHWs following the training program; examined barriers and facilitators to translating the training skills to practice in the community. Pretest and posttest data assessed change in knowledge post the CHWT program.
Results: Findings included fifty-one (57%) training graduates. A statistically significant increase was observed in mean test scores from baseline (n=51, m=61.48 ± 1.80) to post-test (m=76.93 ± 1.73), t (-7.69), p<0.001, indicating that the CHW training was successful in increasing participants’ knowledge. Themes that emerged from the qualitative analysis were comprehension of skills learned, community benefit, and empowerment.
Conclusions: Results from this CHWT program has implications to increase the healthcare workforce thus facilitating access to care among community residents in under-resourced regions.