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

An article from the American Journal of Public Health. Attempts to further the vision of public health as a benefit to the community by encouraging three actions: (1) promote awareness and appreciation of the uniqueness of CHW and support their roles in bringing community perspectives and priorities into the process of improving health care systems, (2) promote the integration of CHW in the full range of health care delivery and population health programs, and (3) implement a national agenda for CHW evaluation research and develop comprehensive policies to enhance the sustainability of the CHW workforce, with CHW leadership in guiding policy recommendations.

Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings

A report published by Sinai Urban Health Institute. Summarizes CHW professional literature and national and local surveys, successes, lessons learned, and case studies from the field. Aims to address the gaps in knowledge about how to effectively implement the CHW model. Targets health care organizations interested in implementing the CHW model in their system or improving upon their current system. Intended to offer guidance in decision-making and solutions to common program implementation challenges. Topics include: approaches to CHW hiring, training, and performance evaluation; supervision challenges and strategies for success; providing a positive organizational climate to facilitate CHW integration; other effective elements of program design; and program evaluation, including standardized CHW process and outcome measures.

Community Health Workers Evidence-Based Models Toolbox

A report by the U.S. Department of Health and Human Services, Human Resources and Services Administration, Office of Rural Health Policy. A guide for rural communities of CHW models and strategies that have been proven to work. Topics include: overview of the role of CHW; description of various CHW program models; CHW training approaches; implementation, sustainability, and evaluation of CHW programs; dissemination of CHW resources; and examples of rural CHW programs.

Promotores and the Chronic Care Model: An Organizational Assessment

An article from the Journal of Community Health Nursing. Provides an organizational assessment and analysis of the role of promotores (lay health workers) could offer to a system of federally-sponsored community health clinics along the U.S./Mexico border in which the Chronic Care Model (which delivers improved care for the chronically ill) is being used. Goal of a collaboration between promotores and the CCM would be to address cultural barriers to chronic illness care encountered by minority populations.