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. 1989 Jul-Aug;104(4):361–368.

Effective utilization and evaluation of indigenous health care workers.

P T Giblin 1
PMCID: PMC1579943  PMID: 2502807

Abstract

The use of indigenous health care workers (IHCWs), who were key elements in community health care programs in the United States in the 1960s, has gone in and out of fashion in subsequent years. The author and his colleagues recently established a service program at Wayne State University's Institute of Maternal and Child Health that employs IHCWs. Characterizations of IHCWs in previous health care programs were reviewed in the process of developing criteria and guidelines for the recruitment, selection, training, employing, and evaluating these workers in the Institute's program. The unique applicability of indigenousness to the delivery of health care services is addressed in terms of the rationale for the use of IHCWs as well as criteria for their success, benefits and problems encountered in the use of these workers, and deficiencies in evaluations of IHCWs. A model of program evaluation, action research, is proposed that assesses the processes and outcomes of providing health services by indigenous paraprofessionals.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Callan L. B. Health Education Aide Trainee project. Public Health Rep. 1969 May;84(5):459–464. [PMC free article] [PubMed] [Google Scholar]
  2. Cauffman J. G., Wingert W. A., Friedman D. B., Warburton E. A., Hanes B. Community health aides: how effective are they? Am J Public Health Nations Health. 1970 Oct;60(10):1904–1909. doi: 10.2105/ajph.60.10.1904. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Conn R. H. Using health education aides in counseling pregnant women. Public Health Rep. 1968 Nov;83(11):979–982. [PMC free article] [PubMed] [Google Scholar]
  4. D'Onofrio C. N. Aides--pain or panacea? Public Health Rep. 1970 Sep;85(9):788–801. [PMC free article] [PubMed] [Google Scholar]
  5. Domke H. R. Project planning and development by official health agencies. 3. The neighborhood-based public health worker: additional manpower for community health services. Am J Public Health Nations Health. 1966 Apr;56(4):603–608. doi: 10.2105/ajph.56.4.603. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Frankenburg W. K., Goldstein A., Chabot A., Camp B. M., Fitch M. Training the indigenous nonprofessional: the screening technician. J Pediatr. 1970 Oct;77(4):564–570. doi: 10.1016/s0022-3476(70)80195-0. [DOI] [PubMed] [Google Scholar]
  7. Giblin P. T., Poland M. L. Primary care of adolescents. Issues in program development and implementation. J Adolesc Health Care. 1985 Sep;6(5):387–391. doi: 10.1016/s0197-0070(85)80008-5. [DOI] [PubMed] [Google Scholar]
  8. Gonzalez J. L., Woodward L. H. Expanding roles for health assistants in a model cities health program. Health Serv Rep. 1974 Mar-Apr;89(2):145–151. [PMC free article] [PubMed] [Google Scholar]
  9. Griffith M. H. Urban health workers in search of a role. Med Serv. 1983 Sep-Oct;40(8):15–24. [PubMed] [Google Scholar]
  10. Heath A. M. Health aides in health departments. Public Health Rep. 1967 Jul;82(7):608–614. [PMC free article] [PubMed] [Google Scholar]
  11. Heath A. M., Pelz D. R. Perception of functions of health aides by aides themselves and by others. Public Health Rep. 1970 Sep;85(9):767–772. [PMC free article] [PubMed] [Google Scholar]
  12. Heins H. C., Jr, Nance N. W., Ferguson J. E. Social support in improving perinatal outcome: the Resource Mothers Program. Obstet Gynecol. 1987 Aug;70(2):263–266. [PubMed] [Google Scholar]
  13. Hoff W. Role of the community health aide in public health programs. Public Health Rep. 1969 Nov;84(11):998–1002. [PMC free article] [PubMed] [Google Scholar]
  14. Kent J. A., Smith C. H. Involving the urban poor in health services through accommodation--the employment of neighborhood representatives. Am J Public Health Nations Health. 1967 Jun;57(6):997–1003. doi: 10.2105/ajph.57.6.997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Moore F. I., Ballinger P., Beasley J. D. Influence of postpartum home visits on postpartum clinic attendance. Public Health Rep. 1974 Jul-Aug;89(4):360–364. [PMC free article] [PubMed] [Google Scholar]
  16. Moore F. I., Stewart J. C., Jr Important variables influencing successful use of aides. Health Serv Rep. 1972 Jun-Jul;87(6):555–561. [PMC free article] [PubMed] [Google Scholar]
  17. Ozawa M. N. Distribution of social service expenditures: a study. Soc Work Res Abstr. 1980 Spring;16(1):3–10. doi: 10.1093/swra/16.1.3. [DOI] [PubMed] [Google Scholar]
  18. Stewart J. C., Hood W. R. Using workers from "hard-core" areas to increase immunization levels. Public Health Rep. 1970 Feb;85(2):177–185. [PMC free article] [PubMed] [Google Scholar]
  19. Thiede H. A. Marginal comment. Interdisciplinary MCH teams can function within the system--with proper planning. Am J Dis Child. 1974 May;127(5):633–635. [PubMed] [Google Scholar]
  20. Tragler A. The role of the health-worker in an integrated child health programme in slums. Indian Pediatr. 1984 Apr;21(4):287–293. [PubMed] [Google Scholar]
  21. Vaughan J. P. Barefoot or professional? Community health workers in the Third World: some important questions concerning their function, utilization, selection, training and evaluation. J Trop Med Hyg. 1980 Feb;83(1):3–10. [PubMed] [Google Scholar]
  22. Westheimer R. K., Cattell S. H., Connell E., Kaufman S. A., Swartz D. P. Use of paraprofessionals to motivate women to return for post partum checkup. Public Health Rep. 1970 Jul;85(7):625–635. [PMC free article] [PubMed] [Google Scholar]
  23. Wingert W. A., Grubbs J., Lenoski E. F., Friedman D. B. Effectiveness and efficiency of indigenous health aides in a pediatric outpatient department. Am J Public Health. 1975 Aug;65(8):849–857. doi: 10.2105/ajph.65.8.849. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Wingert W. A., Larson W., Friedman D. B. Indigenous health aides as counselors to parents about nutrition. Public Health Rep. 1969 Apr;84(4):328–332. [PMC free article] [PubMed] [Google Scholar]

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