Community Health Workers Can Be a Public Health Force for Change in the United States: Three Actions for a New Paradigm

Health Science Center Houston, El Paso Regional Campus, University of Texas School of Public Health, El Paso, 79968, USA.
American Journal of Public Health (Impact Factor: 4.55). 12/2011; 101(12):2199-203. DOI: 10.2105/AJPH.2011.300386
Source: PubMed


Community health workers (CHWs) have gained increased visibility in the United States. We discuss how to strengthen the roles of CHWs to enable them to become collaborative leaders in dramatically changing health care from "sickness care" systems to systems that provide comprehensive care for individuals and families and supports community and tribal wellness. We recommend drawing on the full spectrum of CHWs' roles so that they can make optimal contributions to health systems and the building of community capacity for health and wellness. We also urge that CHWs be integrated into "community health teams" as part of "medical homes" and that evaluation frameworks be improved to better measure community wellness and systems change.

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    • "workforce development and sustainable financing mechanisms, limits the integration of CHWs into new systems of care (Balcazar et al., 2011). Statewide CHW coalitions are addressing these concerns by focusing on expansion of the CHW workforce and influencing health policy (Rosenthal et al., 2010). "
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    ABSTRACT: Community health workers (CHWs) have demonstrated effectiveness in improving health outcomes and addressing health inequities. Statewide CHW coalitions are supporting expansion of the CHW workforce and influencing health policy. Evaluations can play a key role in sustaining coalitions. This article discusses how evaluation has informed the development, processes, and initiatives of the Michigan Community Health Worker Alliance. We highlight the Michigan Community Health Worker Alliance's internal process evaluation, a statewide survey of CHW programs, and other evaluation activities to illustrate how CHW coalitions can use participatory evaluation to develop and reinforce coalition strengths and accomplish mutual goals.
    The Journal of ambulatory care management 09/2015; 38(4):284-296. DOI:10.1097/JAC.0000000000000113
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    • "The size of the workforce is considerable in both of these countries, with Brazil employing 257,265 ( Johnson et al. 2013) and Iran 31,000 ( Javanparast et al. 2011) workers. CHWs in the USA, estimated to number more than 121,000 (HRSA 2007), are recognized as part of the health workforce and have their own CHW Standard Occupational Category – SOC #21 – 1094 Community Health Worker – which recognizes these workers as a distinct occupation (Balcázar et al. 2011; Federal Register 2009). "
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    ABSTRACT: This article reports findings from an applied case study of collaboration between a community-based organization staffed by community health workers/multicultural health brokers (CHWs/MCHBs) serving immigrants and refugees and a local public health unit in Alberta, Canada. In this study, we explored the challenges, successes and unrealized potential of CHWs/MCHBs in facilitating culturally responsive access to healthcare and other social services for new immigrants and refugees. We suggest that health equity for marginalized populations such as new immigrants and refugees could be improved by increasing the role of CHWs in population health programs in Canada. Furthermore, we propose that recognition by health and social care agencies and institutions of CHWs/MCHBs, and the role they play in such programs, has the potential to transform the way we deliver healthcare services and address health equity challenges. Such recognition would also benefit CHWs and the populations they serve. Copyright © 2014 Longwoods Publishing.
    Healthcare policy = Politiques de sante 08/2014; 10(No. 1):71. DOI:10.12927/hcpol.2014.23983
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    • "55–56) thereby making it possible to buttress culturally specific health reinforcing beliefs and behaviors as well as to facilitate resolution of myths and misunderstandings to increase knowledge within their respective communities (McCloskey, 2009). Promotores-based interventions have been well established in the literature as a tool to increase healthy behaviors while facilitating empowerment within underserved populations to prevent adverse health outcomes (Anders, Balcazar, & Paez, 2006; Balcazar et al., 2011; Rosenthal et al., 2010; Swider, 2002; WestRasmus et al., 2012). "
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    ABSTRACT: The Salud con Hyland's Project: Comienzo Saludable, Familia Sana (Health with Hyland's Project: Healthy Start, Healthy Family) was developed to provide education and support to Latina mothers regarding healthy infant feeding practices and maternal health. The promotora-delivered intervention was comprised of two charlas (educational sessions) and supplemental culturally and linguistically relevant infant feeding and care rolling calendar. Results indicate that the intervention increased intention of breastfeeding exclusivity as well as delay in infant initiation of solids through 5 to 6 months. Qualitative feedback identified barriers to maternal and child health education as well as highlighted several benefits of the intervention.
    Health Care For Women International 03/2014; 36(6). DOI:10.1080/07399332.2014.900060 · 0.63 Impact Factor
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