• Atencion primaria · Dec 2014

    [RIU project: perceived changes by health agents and professionals after a health intervention in an urban area of socioeconomic disadvantage].

    • Dory Aviñó, Joan J Paredes-Carbonell, Rosana Peiró-Pérez, Daniel La Parra Casado, and Carlos Álvarez-Dardet.
    • Fundación para el Fomento de la Investigación Biomédica y Sanitaria de la Comunitat Valenciana (FISABIO), Valencia, España. Electronic address: avinyo_ado@gva.es.
    • Aten Primaria. 2014 Dec 1; 46 (10): 531540531-40.

    ObjectiveTo describe how health agents and professionals working in a community project perceive the changes related to the population health status and their use of health-care services after the RIU intervention in an urban area of socioeconomic disadvantage.DesignA qualitative descriptive study based on individual and group interviews and participant observation conducted between October 2008-July 2009.LocationRaval (Algemesí-Valencia)ParticipantsWe selected by purposive sample 7 women health agents, all persons who completed the intervention, and 10 professionals for their involvement in the intervention.MethodWe conducted a group interview with the women at 6 months and a group and 7 individuals interviews both at 9 months of intervention. We realized a thematic descriptive analysis from health promotion framework. We used participant observation in a meeting with professionals at 9 months and analyzed field notes as: appraisal project, detected changes, challenges and recommendations.ResultsWomen acquired information about health, contraception, pregnancy and heath services; they noted changes in self-care and social skills and leadership; they internalized the role of health worker disseminating what they learned and showed improvement in self-esteem and social recognition. They caused changes in the people related on health care and access to services. Professionals didn't incorporate at their work the community perspective; they valued positively the project; professionals and women agreed on improving access and use of services and closeness population-professionals.ConclusionsRIU increases the capabilities of the participants, their social recognition and improves access and use of health services.Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

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