Evaluation of the RWJ/HRSA Demonstration Project
The Robert Wood Johnson Foundation (RWJF), in a joint effort with the Health Resources Services Administration (HRSA), has previously funded a major demonstration project in the Rio-Grande Valley targeting promotoras, lay health workers, in Colonias in Hidalgo County, Texas. The major goals of the demonstration project include improving the capacity of the lay health workers to impact the health behaviors of the residents, and integrating their activities with the actions of the health providers in the area to change access and utilization rates. This project will provide a rigorous evaluation of intervention activities in order to determine the impact of the RWJF/HRSA demonstration project. A series of pre- and post-demonstration household surveys and analysis of administrative data from health services facilities in the Colonias areas will be used to assess project impact. In particular, the evaluation will monitor communication patterns between promotoras and residents as well as promotoras and providers at various levels in the health delivery systems used by residents. Attention will also be directed to the impact of this intervention on the political and functional interactions of the relevant health providers. Finally, the project team will look toward the potential of this model to impact disaffected populations across the U.S./Mexico border region.
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