Community Health Worker Interventions
This model uses community
health workers (CHWs) or promotores
to conduct community-wide smoking cessation classes or link tobacco users to local cessation
resources. CHW interventions can provide important cessation services to low-income populations in
rural areas who cannot otherwise access individual cessation classes or services in clinical
Examples of Community Health Worker Interventions
Sin Fronteras, a community health education center in Yuma County, Arizona, implemented
a two-year program that used promotores to promote smoking prevention and cessation among
Hispanic farmworkers and other young adults. The program featured peer educators that offered
culturally-tailored tobacco prevention and cessation information to farmworkers at convenient
locations, including worksites and bus pickup locations. The program also facilitated peer support
groups for tobacco cessation, referred community members to cessation services, and helped to enforce
smoke-free policies on buses.
The Mississippi Delta
Health Collaborative (MDHC) at the Mississippi State Department of Health is working
toward decreasing the incidence of heart disease and stroke through initiatives that emphasize the
ABCS (Aspirin therapy,
Blood pressure control, Cholesterol control, and Smoking
cessation). The MDHC helps implement the Clinical-Community
Health Worker Initiative in the Delta region, which connects patients to CHWs to promote
chronic disease self-management. As part of this initiative, CHWs offer informal tobacco cessation
counseling to patients and provide information about the state's quitline.
Altura Centers for Health employs
promotoras to provide outreach and education to community members, including migrant farm
workers. Altura trains promotoras to provide information about disease conditions and behaviors,
including tobacco use.
Considerations for Implementation
The Community Health Workers Toolkit provides additional information about implementation
considerations for CHW programs in rural communities.
Program Clearinghouse Example