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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: New York (cont’d)Back to Index

New York City Childhood Asthma Initiative

New York City Department of Health and Mental Hygiene

New York, NY

Lorna Davis

(212) 676-2135         


The New York City Childhood Asthma Initiative (NYCCAI), begun in 1997, is overseen by the New York City Department of Health and Mental Hygiene. It is a comprehensive effort intended to improve the management and treatment of childhood asthma through three strategies: the development of community partnerships to design an intervention plan to increase awareness of asthma and address system issues among community institutions; home-based education provided by community health workers to targeted families; and a medical provider education program. The target population consists of urban, low income, Hispanic/Latino and Black/African-American residents in New York.  

The home based education component takes place over six months, with an average of 4 visits per home by a trained community health worker (CHW).  The initial visit lasts 2 hours; subsequent visits last at least 1 hour.  During visits, the CHWs educate clients on asthma management, review current asthma care, assist in obtaining primary care and assess and remediate in-home asthma triggers as necessary.

Evaluations to date of the home based education component of the program have indicated a positive impact on several health outcomes. The other components of the NYCCAI have not yet been evaluated. The program is ongoing.

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