A community health worker home visit program: Facilitators and barriers of program implementation

Terri Menser, Christine Swoboda, Cynthia Sieck, Jennifer Hefner, Timothy Huerta, Ann Scheck McAlearney

Research output: Contribution to journalArticle

Abstract

Home visit programs have long been used as a means of intervention specifically among vulnerable, at-risk populations including: chronically ill, impoverished, rural, or homebound individuals. Understanding barriers and facilitators to the implementation of home visit programs is essential to inform these efforts. Home visit programs led by community health workers (CHWs) are becoming more common and pose specific challenges. The Ohio Infant Mortality Reduction Initiative is a home visit program led by CHWs with the purpose of reducing infant mortality among high-risk populations. The intervention included health education, referrals to health services, and provision of supplies and social support to expectant mothers. This study examined qualitative interviews with program managers and administrators to describe facilitators and barriers associated with this home visit program from a managerial perspective. Findings highlight the importance of initial and ongoing CHW training, appropriate caseloads, effective communication, and adequate funding, which can inform future CHW programs.

Original languageEnglish (US)
Pages (from-to)370-381
Number of pages12
JournalJournal of Health Care for the Poor and Underserved
Volume31
Issue number1
DOIs
StatePublished - Feb 2020

Keywords

  • Community health workers
  • Implementation barriers
  • Implementation facilitators
  • Implementation science

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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