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Community Health Workers

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Encyclopedia of Immigrant Health

Background

For over 300 years many communities around the world have been utilizing lay health workers as a source of regular health care services in the absence of trained medical professionals. The 1978 the World Health Organization’s (WHO) Declaration of Alma-Ataemphasized the use of community health workers (CHWs) as a key strategy for the delivery of basic health care services. CHWs are distinguished from other health professionals because they are hired primarily for their understanding of the populations and communities they serve, conduct outreach a significant portion of the time playing multiple roles, and have experience in providing services in community settings. In the USA, formal participation of trained workers in this role has been documented since the 1950s. By the late 1960s and early 1970s, CHWs were experimentally utilized in some of the low-income communities as a model of intervention for disease prevention and health education. Within this model, individuals...

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Suggested Readings

  • Balcázar, H., Luna Hollen, M., Medina, M., Pedregn, V., Alvarado, M., & Fulwood, R. (2005). The north Texas salud para su corazon promotor/a outreach program: an enhanced dissemination initiative. The Health Education Monograph Series Special Issue on Minority Health, 22, 19–27.

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  • Luna Hollen, M., Balcázar, H., Medina, A., & Ahmed, N. (2002). The North Texas Salud Para Su Corazón (health for your heart) Outreach Initiative: Serving Hispanics in Fort Worth and Dallas. Texas Public Health Association Journal, 54, 5–12.

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  • Massachusetts Department of Public Health. (2005, March).Community health workers: Essential to improving health in Massachusetts. Findings from the Massachusetts Community Health Worker Survey. Boston (MA): Division of Primary Care and Health Access, Bureau of Family and Community Health, Center for Community Health, MDPH.

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  • Medina, A., Balcazar, H., Luna Hollen, M., et al. (2007). Promotores de Salud: Educating Hispanic communities on heart-healthy living. American Journal of Health Education, 3(4), 194–202.

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  • National Fund for Medical Education. (2006). Advancing community health worker practice and utilization: The focus on financing. San Francisco (CA): Center for the Health Professions, University of California at San Francisco.

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  • United States-Mexico Community Health Workers Border Models of Excellence, Transfer/Replication Strategy. (2004). REACH 2010 Promotora Community Coalition Model, Rio Grande Valley in Texas. El Paso (TX): United States-Mexico Border Health Commission.

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Suggested Resources

  • Community Health Worker Training and Certification Program website, Part of the Office of Title V and Family Health. Retrieved May 10, 2010, from Texas Department of State Health Services Website: http://www.dshs.state.tx.us/chpr/chw/default.shtm

  • General CHR Information, History & Background Development of the Program [Internet]. Rockville (MD): U.S. Department of Health and Human Services, Indian Health Service; [updated 2006 Mar 30/cited 2006 Oct 21]. Retrieved March 28, 2010, from http://www.ihs.gov/NonMedicalPrograms/chr/history.cfm

  • U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professions. Community Health Worker National Workforce Study, 2007. Retrieved May 3, 2010, from ftp://ftp.hrsa.gov/bhpr/workforce/chw307.pdf

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© 2012 Springer Science+Business Media, LLC

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Urrutia-Rojas, X., Luna-Hollen, M. (2012). Community Health Workers. In: Loue, S., Sajatovic, M. (eds) Encyclopedia of Immigrant Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5659-0_166

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  • DOI: https://doi.org/10.1007/978-1-4419-5659-0_166

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