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Community Health Workers 
What Are They?
Community Health Workers 
A Community Health Worker (CHW) is a frontline 
public health worker who is a trusted member of and 
has an unusually close understanding of the 
community served.
Community Health Workers 
Are Known By Many Titles 
• Community Health Advocates 
• Community Health Educators 
• Outreach Workers 
• Community Health Advisors 
• Lay Health Advocates 
• “Promotores (as)” 
• Outreach Educators 
• Community Health 
Representatives 
• Peer Health Promoters 
• Mental Health Aides 
• Navigators 
• Peer Health Educators
What do CHWs do? 
• Outreach, community 
mobilization and advocacy 
• Community/cultural liaison 
• Home based services and 
social support 
• Health promotion, prevention 
and education 
• Navigates health systems 
• HealthCare Team member
Clinic-Community Linkages 
ROLES OF CHWs 
COMMUNITY 
• Point person for community 
resources 
• Provides social support 
• Flexibility of “office” – may 
be in the community 
• Home visitor 
CLINICAL 
• Serves as a liaison between 
the patient and various 
resources 
• Reinforces educational 
messages given to the 
patient by the healthcare 
team 
• Operates as a member of 
the healthcare team 
• Flexibility in location of 
“office” – may have a base 
at a clinic.
Improving Quality of Care 
IMPACT ON CARE 
Clinical 
• Fewer visits for same 
complaint 
• Patient compliance with 
clinical instructions 
• Improves health outcomes 
• Empowers patient 
• Improves quality of care 
Community 
Healthier communities 
Healthcare costs lowered 
Increased access to care
Where Do CHWs Work? 
CHWs provide services in a 
number of settings including 
community clients’ homes, faith-based 
organizations, their 
employers or sponsoring 
agencies, community health 
centers,non-profit organizations, 
public health clinics and private 
clinics, public housing 
organizations, hospitals and other 
settings.
What Training Do CHWs 
Have? 
CHWs receive training to help 
them understand their roles as 
members of the health or social 
service teams. CHWs have eight 
core competencies on which they 
must train and become 
knowledgeable. These assure 
mastery of knowledge and skill, 
provides a holistic approach to 
meeting community health needs, 
links learning to employment 
opportunities and meets 
certification requirements.
CHWs in Mississippi 
Community Health Workers are 
currently being used to build 
capacity to reduce health 
disparities. In Mississippi, they are 
being used to address direct care, 
prevention, and intervention
CHWs in Mississippi 
CHWs work at the community level 
in both rural and urban communities 
to help health and social service 
agencies address issues such as 
diabetes, child health, high blood 
pressure, nutrition, tobacco control, 
lack of access to healthcare and 
health education, and health 
disparities through health education 
and health promotion activities.
The majority of CHW services in MS are currently not 
eligible for reimbursement. However, CHW services are 
reimbursed for a small percent of agencies such as SCHIP, 
Medicaid, Medicare, and private health insurance.
National support & movement 
towards CHW recognition 
The Patient Protection and Affordable Care Act of 
2010 (PPACA) cites CHWs in three sections — §5101, 
§5313, and §5403 — and identifies them as an 
important part of the health care workforce.
Mississippi Organizations 
Use of CHWs 
• 78% are nongovernment organizations 
• 75% utilize a combination of paid and volunteer CHWs 
• 38% of CHWs work in programs supported by HRSA 
• Nearly 30% of the organizations fund their CHWs using a mix of 
federal, state, local and private sources. 
• 1 in 3 organizations view CHWs as a viable part of the work force.
National Support & Movement 
Towards CHW Recognition 
• Association of State and Territorial 
Health Officials 2012 
• CDC Division for Heart Disease and 
• Stroke Prevention 2011 
• National Prevention Council 2011 
• HHS Action Plan to Reduce Racial and 
Ethnic Health Disparities 2011 
• American Association of Diabetes 
Educators 2010 
• Bureau of Labor Statistics 2010 
• HHS National HealthAction Plan to 
ImproveHealth Literacy 2010 
• Agency for Healthcare Research & 
Quality 2009 
• American Public Health Association 
2009, 2001 
• National Conference of State 
Legislatures 2008 
• National Fund for Medical Education 
2006 
• Institute of Medicine 2003 
• American Medical Association 2002
For More Information on 
Community Health Workers 
Tougaloo College 
Central Mississippi Area Health Education Center 
350 W. Woodrow Wilson Drive, Suite 3320 
Jackson, MS 39213 
Phone: (601) 987-9463 
Website: 
www.tougaloo.edu/administration/health-and-wellness/central-mississippi-area-health- 
education-center 
or 
http://tinyurl.com/wearechws 
Facebook: www.facebook.com/tougaloohealth 
Twitter: www.twitter.com/tougaloohealth

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Community Health Workers (CHWs)

  • 1. Sponsored By W. K. Kellogg Foundation
  • 2. Community Health Workers What Are They?
  • 3. Community Health Workers A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and has an unusually close understanding of the community served.
  • 4. Community Health Workers Are Known By Many Titles • Community Health Advocates • Community Health Educators • Outreach Workers • Community Health Advisors • Lay Health Advocates • “Promotores (as)” • Outreach Educators • Community Health Representatives • Peer Health Promoters • Mental Health Aides • Navigators • Peer Health Educators
  • 5. What do CHWs do? • Outreach, community mobilization and advocacy • Community/cultural liaison • Home based services and social support • Health promotion, prevention and education • Navigates health systems • HealthCare Team member
  • 6. Clinic-Community Linkages ROLES OF CHWs COMMUNITY • Point person for community resources • Provides social support • Flexibility of “office” – may be in the community • Home visitor CLINICAL • Serves as a liaison between the patient and various resources • Reinforces educational messages given to the patient by the healthcare team • Operates as a member of the healthcare team • Flexibility in location of “office” – may have a base at a clinic.
  • 7. Improving Quality of Care IMPACT ON CARE Clinical • Fewer visits for same complaint • Patient compliance with clinical instructions • Improves health outcomes • Empowers patient • Improves quality of care Community Healthier communities Healthcare costs lowered Increased access to care
  • 8. Where Do CHWs Work? CHWs provide services in a number of settings including community clients’ homes, faith-based organizations, their employers or sponsoring agencies, community health centers,non-profit organizations, public health clinics and private clinics, public housing organizations, hospitals and other settings.
  • 9. What Training Do CHWs Have? CHWs receive training to help them understand their roles as members of the health or social service teams. CHWs have eight core competencies on which they must train and become knowledgeable. These assure mastery of knowledge and skill, provides a holistic approach to meeting community health needs, links learning to employment opportunities and meets certification requirements.
  • 10. CHWs in Mississippi Community Health Workers are currently being used to build capacity to reduce health disparities. In Mississippi, they are being used to address direct care, prevention, and intervention
  • 11. CHWs in Mississippi CHWs work at the community level in both rural and urban communities to help health and social service agencies address issues such as diabetes, child health, high blood pressure, nutrition, tobacco control, lack of access to healthcare and health education, and health disparities through health education and health promotion activities.
  • 12. The majority of CHW services in MS are currently not eligible for reimbursement. However, CHW services are reimbursed for a small percent of agencies such as SCHIP, Medicaid, Medicare, and private health insurance.
  • 13. National support & movement towards CHW recognition The Patient Protection and Affordable Care Act of 2010 (PPACA) cites CHWs in three sections — §5101, §5313, and §5403 — and identifies them as an important part of the health care workforce.
  • 14. Mississippi Organizations Use of CHWs • 78% are nongovernment organizations • 75% utilize a combination of paid and volunteer CHWs • 38% of CHWs work in programs supported by HRSA • Nearly 30% of the organizations fund their CHWs using a mix of federal, state, local and private sources. • 1 in 3 organizations view CHWs as a viable part of the work force.
  • 15. National Support & Movement Towards CHW Recognition • Association of State and Territorial Health Officials 2012 • CDC Division for Heart Disease and • Stroke Prevention 2011 • National Prevention Council 2011 • HHS Action Plan to Reduce Racial and Ethnic Health Disparities 2011 • American Association of Diabetes Educators 2010 • Bureau of Labor Statistics 2010 • HHS National HealthAction Plan to ImproveHealth Literacy 2010 • Agency for Healthcare Research & Quality 2009 • American Public Health Association 2009, 2001 • National Conference of State Legislatures 2008 • National Fund for Medical Education 2006 • Institute of Medicine 2003 • American Medical Association 2002
  • 16. For More Information on Community Health Workers Tougaloo College Central Mississippi Area Health Education Center 350 W. Woodrow Wilson Drive, Suite 3320 Jackson, MS 39213 Phone: (601) 987-9463 Website: www.tougaloo.edu/administration/health-and-wellness/central-mississippi-area-health- education-center or http://tinyurl.com/wearechws Facebook: www.facebook.com/tougaloohealth Twitter: www.twitter.com/tougaloohealth

Editor's Notes

  1. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A CHW also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy. (American Public Health Association CHW Section, 2009)
  2. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A CHW also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy. (American Public Health Association CHW Section, 2009)