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To these audiences, Rojas dispenses health care facts from how to fight cholesterol to how to navigate the paper-flooded straits of Houston's hospital system. public health officials have started adopting the idea. 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For $8 an hour, Rojas knocks on immigrants' doors, chats up pregnant women at the grocery store and lectures captive listeners in waiting rooms at consulates and clinics.

For teaching infant CPR." Finally she grabbed the tool she uses most, a minutely printed, multi-page insurance form with which she helps Latino immigrants enter the state health system.

Peer educators, as promotoras are also known, have been fixtures in Latin America for years. Not only are promotoras less costly than doctors, but research has shown that people of all groups -- not just immigrants -- find health information most credible when it comes from someone from a familiar background. "And it's relatively cost-effective, because you're taking people from the community and generally paying them minimum wage or something near that.

Texas, with its skeletal public funding for health care and its constant influx of immigrants and ideas across the border, is one of the U. It makes more sense than paying a lot of expensive executives and ad people and physicians that won't be as effective." But technique, by necessity, varies wildly.

Take the case of Pro Salud, a Houston nonprofit first modeled on a program in El Salvador.

During that country's civil war, Salvadoran physician Vicky Guzman created a rudimentary medical system for remote villages cut off from hospitals.

Choosing rural women with leadership abilities, Guzman taught them how to create tourniquets for machete wounds, ventilate mud huts and halt life-threatening diarrhea.

She trained them to give injections and some medications, which is legal in El Salvador.

The women returned as volunteer promotoras, educating neighbor families one by one.

Six years ago, after visiting El Salvador, Houston physician Peggy Goetz decided health promoters might also work in Houston.

The neighborhood she had in mind was Gulfton, a five-square-mile forest of complexes jammed with 60,000 Salvadorans, Guatemalans and Mexicans.

About 60 percent of these newcomers lacked legal documents, creating a transient, impoverished population fearful of outsiders. So health educators such as Rojas, who has worked for Goetz since 2000, instead began to talk at health fairs and other public gatherings.

At first, Goetz envisioned promotoras forging individual bonds with families. Pro Salud's eight promotoras now address specific Latino health concerns such as cholesterol, diabetes and high blood pressure.