Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: New York (cont’d)
New York City Childhood Asthma Initiative
New York City Department of Health and Mental Hygiene
New York, NY
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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