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Emory Global Health Institute Field Scholars Awards Program

2012 Global Health Institute Field Scholars

Collaborative Adaptation and Implementation of a Community Health Promoter Intervention for Diabetes Self-Management among the Tz'utujil Maya of San Pablo and San Juan La Laguna, Guatemala

Alyse Lopez-Salm, Rollins School of Public Health
Danielle Lungelow, Nell Hodgson Woodruff School of Nursing
Mary Micikas, Nell Hodgson Woodruff School of Nursing
Allison Weis, Emory School of Medicine/Rollins School of Public Health

fsa project 2012 diabetes guatemalaThe goal of this project was to empower community health promoters (CHPs) to teach effective type II Diabetes self-management skills among patients with type II Diabetes through the use of a targeted intervention. Team members worked with the Clinica Sanjuanerita (a project of the Organization for the Development of the Indigenous Maya (ODIM)), which serves populations in San Juan La Laguna and San Pablo La Laguna, Guatemala. The Clinica Sanjuanerita began a health promoter program in 2008 with CHPs trained to provide health education classes and home visits covering a range of topics. However, a recent health needs assessment identified the need for more focused instruction on diabetes management.

To achieve their goal, the team provided training for CHPs and worked with ODIM’s newly designated Diabetes Program Coordinator to implement a culturally appropriate intervention for diabetes self-management. Informed by group interviews with diabetic patients and CHPs in San Pablo, the team adapted the Emory Latino Diabetes Education Program currently in use in Atlanta.

fsa project 2012 diabetes guatemala 2The CHP trainings lasted for two weeks and were empowerment-based, allowing approximately 18 CHPs to build competence and confidence in intervention delivery. The CHPs were provided information on diabetes causes, consequences, and management, as well as principles of teaching, learning, and behavioral change. Following training, the team supervised and observed implementation of the intervention by CHPs to exchange feedback and facilitate program improvement. The team also provided the ODIM Diabetes Program Coordinator with information on how to sustain, evaluate, and improve the program over the long-term.

In follow-up to their summer work, this team presented a poster of their project during the 2012 EGHI Global Health Scholars Symposium.

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