1. CHWs and NCDs: Case Studies
Latino Health Access, Santa Ana, Ca
• Promotora - led diabetes program
• Community organizing strategies:
nutrition classes; exercise classes;
support groups; securing land and
building a park and community
center
• Their model works: LHA has better
health outcomes than those from
nearby hospitals

2. CHWs and NCDs: Case Studies
Last Mile Health, Liberia
• Frontline health workers in
extremely rural/ remote locations
• Heart disease program: frontline
health workers give prevention
education, screen for high blood
pressure (and signs of heart
failure), explain medications, help
with drug adherence
• Just started program in late
2013, but planning on scaling it in
the next few months

3. • Serve as a blueprint for CHW programs
beginning to tackle NCDs
• Content will equip CHWs to:
• Identify diseases
• Make appropriate referrals
• Case manage
• Address complications
• Help with drug adherence
• Educate about NCDs
• Prevent NCDs
The New Where There Is No Doctor:
new NCD content for CHWs
• Grounds health information in the
context of the social and political
causes of poor health.

4. Request for Field-Test partners for
new NCD content
• Grassroots Field-Testing ensures
that content is
accessible, relevant, and speaks
to the conditions of low-
resource communities.
• Currently developing a Diabetes
module.
• Field-Testing targeted for fall of
2014
• Please let me know if your
organization might be interested
in participating!Sarah Shannon
Executive Director
sarahs@hesperian.org

5. CHWs and NCDs
Discussion Group Questions
How are your CHW programs already trying to address NCDs?
What role do the CHWs have?
What have been the challenges?
What is working well?
How could CORE group members’ programs integrate NCD work
into existing work with CHWs?
How feasible would this be?
What would be the benefits?
What would be the challenges?