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Leslie deRosset, MPH Latino Campaign Coordinator lderosset@marchofdimes

North Carolina: A Comprehensive Approach to Educating Latinos. Leslie deRosset, MPH Latino Campaign Coordinator lderosset@marchofdimes.com (919) 781 -2481, ext 39 NC Folic Acid Campaign/March of Dimes, NC www.getfolic.com. North Carolina.

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Leslie deRosset, MPH Latino Campaign Coordinator lderosset@marchofdimes

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  1. North Carolina: A Comprehensive Approach to Educating Latinos Leslie deRosset, MPHLatino Campaign Coordinator lderosset@marchofdimes.com (919) 781 -2481, ext 39 NC Folic Acid Campaign/March of Dimes, NC www.getfolic.com

  2. North Carolina • In North Carolina, overall 15% of the population lives below the poverty level. • 29% of Immigrant children & 20% of non- immigrant children are living below the poverty level. • 9.2% of North Carolinians speak a language other than English at home. • 19% of births in North Carolina in 2004 were to foreign born mothers.

  3. Latinos in North Carolina • Estimated number of Hispanics/Latinos in NC = 517, 617 • Median age of Latinos/Hispanic is 29 compared to 39 for white non-Hispanics. • 2/3 of NC’s Latino population is foreign born. • Over 73% of the Latinos in NC from Mexico

  4. Latinos in North Carolina • Latino immigration new to NC (only past 20 years). • 85% of Latinos in North Carolina report speaking English less than very well, poorly, or not at all. • 2006 survey of NC Latinas • 54% had been in the state less than 5 years • 32% had been in the state 5 - 10 years.

  5. NTD Rates in NC

  6. NC Folic Acid Campaign/March of Dimes • Program goal: • Increase multivitamin consumption among young women of childbearing age in order to reduce the number of neural tube defect-affected pregnancies in the state • Program components: • Research and evaluation • Community Ambassador (lay health educator) program • Office Champion program (health care provider education) • Media – television, radio and newspaper • FREE materials, videos/DVDs • FREE Folic Acid 101 course • FREE cultural awareness workshops

  7. NCFAC: Research • Focus groupsconducted with: • Latina women in North Carolina • Outreach workers and health educators • Results: • Refined target audience • Information about the following in regards to multivitamins, folic acid and birth defects (neural tube defects) • Barriers • Myths • Beliefs • Current knowledge • Evaluate current educational materials

  8. NCFAC: Research • Health care provider surveys: • Quantitative, anonymous • N = 163 • Provided NCFAC with information about providers’ perceptions of Latinas’: • Barriers • Myths • Beliefs • Knowledge

  9. NCFAC: Research • Community Survey: • Quantitative, anonymous • 1,100 face-to-face completed (N = 896) • Pre-test/baseline survey • Provided NCFAC with information about Latinas’: • Knowledge • Attitudes • Beliefs • Behaviors • Helped to provide direction for program development and implementation • Post-test will be conducted in 2008 to measure changes

  10. NCFAC: Materials Review • Focus groups (consumers and providers) reviewed educational brochures and/or radio and television public service announcements (PSA’s) from: • CDC • Florida • March of Dimes • North Carolina Healthy Start Foundation • North Carolina Folic Acid Campaign/March of Dimes

  11. NCFAC: Materials Development • New • Radio PSA’s • Television PSA’s • Newspaper advertisements • Print advertisements • Revision • North Carolina Healthy Start Foundation “Ana Maria” brochure • Provided feedback & recommendations to: • CDC • March of Dimes • Florida

  12. NCFAC: Community Ambassador Program • Education for Latina women provided by Latina women • Grassroots, community-level education • Modeled after Lay Health Educator programs (LHE) • Receive a stipend after completion • Requirements for becoming a Community Ambassador • Living in North Carolina • At least 16 years of age • Spanish speaking • Complete an interactive training

  13. NCFAC: Community Ambassador Program • Elements of the Community Ambassador program • Participate in a 5 hour comprehensive and interactive training about: • Multivitamins, folic acid and birth defects • How to give workshops and education to the community • How to do outreach in their social networks • Educate 50 women of childbearing age • Document women educated (age, country of origin, address) • Provide five (5) written evaluations/comments about the workshops (filled out by the participants)

  14. NCFAC: Community Ambassador Program • More than 6,000 Latinas have received one-on-one education in 13 counties 150 Community Ambassadors trained since May ’06

  15. NCFAC: Health Care Provider Education • Collaborate with the regional coordinators • Provide education to public and private providers • Provide cultural awareness information and trainings to providers (Latino/Hispanic culture) • Participate in: • Workshops • Conferences • Health fairs • Etc.

  16. NCFAC: Health Care Provider Education • Materials and incentives • Bilingual brochures • Posters (English and Spanish) • DVD’s (English and Spanish) • Incentives (bilingual) • Collaborate with: • Public agencies • Local and statewide • Community-based organizations • National partners

  17. Examples of educational materials

  18. Radio Public Service Announcement

  19. Television Public Service Announcement

  20. Questions?

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