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Health Promotion Practice
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Promovisión: Designing a Capacity-Building Program to Strengthen and Expand the Role of Promotores in HIV Prevention

Rebeca L. Ramos, MS, MPH

United States-México Border Health Association in El Paso, Texas

Apolonia Hernandez, MS

United States-México Border Health Association in El Paso, Texas

João B. Ferreira-Pinto, PhD

Border Planning and Evaluation Group in El Paso, Texas, joao{at}bpegroup.org

Melchor Ortiz, PhD

University of Texas Houston School of Public Health in El Paso, Texas

Gerlinda Gallegos Somerville, MPH, CHES

Centers for Disease Control and Prevention in Atlanta, Georgia

This article describes the development of Promovisión, a program based on the utilization of promotores in community-based organizations (CBOs) to improve the provision of HIV prevention services to recent immigrants and Latinos who are less acculturated. Promovisión aims to demonstrate the contribution of promotores as a cost-effective strategy in HIV prevention efforts, and how promotores facilitate the formation of community, regional, and national CBO networks working collaboratively to prevent the spread of HIV in Latino communities. In addition, this article examines the interpersonal, organizational, community, and sociocultural dimensions that facilitate or hinder community mobilization, and coalition formation and growth, and how these findings shaped the final design of the program. Finally, the Promovisión program seeks to demonstrate that a promotor-based program is a culturally appropriate model for HIV prevention and care, which can be successfully implemented in community and clinical settings among ethnic populations with limited English proficiency.

Key Words: promotores • immigrants • Latinos • HIV/AIDS prevention • coalitions • capacity building

This version was published on October 1, 2006

Health Promotion Practice, Vol. 7, No. 4, 444-449 (2006)
DOI: 10.1177/1524839905278868
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