Unity 2007 Presentation Proposal   Community Health Workers as Essential Components for Public Health: Solving the Disparities and Access Puzzle

 

 

 

 

                                                           

Contact Person                                                                                              Team Presenters (please list names, if applicable)

Name:

Title:

Organization:

Address:

Phone:

Fax:

Email:

                

1.        _______________________________________

 

2.        _______________________________________

 

3.        _______________________________________

        

                 Please indicate desired presentation format:

                 [ ] Workshop     [ ] Panel     [ ] Poster     [ ] Plenary                                                                                                                                      [ ] Other _________________________________

 

Presentation Title:_________________________________________________________________________________

(Please indicate which of the following categories your presentation will address)

 

[ ] Ways to develop and sustain CHW programs                          [ ] Strength-based responses to community health shortfalls

[ ] Methods of evaluating CHW program successes                     [ ] Successful administrative strategies for CHW programs

[ ] Innovative model CHW programs                                                [ ] CHW certification, education, and training programs

[ ] CHW network development                                                          [ ] New and emerging roles for CHWs

[ ] Skill-building for CHWs                                                                 [ ]CHW role in strengthening and enhancing public health

[ ] Other  (please explain)_____________________________________________________________________

 

Learning Objectives:

1.________________________________________________________________________________________

2.________________________________________________________________________________________

3.________________________________________________________________________________________

 

Is CHW travel assistance needed?  [ ] Yes                     [ ] No

 

Please provide a description of presentation content.  (Maximum 350 words)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please fax this completed form to (601) 266-6262 or e-mail to: susan.johnson@usm.edu by January 31, 2007.