CHWs often improve health care delivery in their communities by bringing health services closer to hard to reach populations. This study utilized systematic database searches to determine the extent of CHW program equity. Many programs reduced inequity related to location, gender, education, and socioeconomic status. While CHW programs do seem to promote equity, care should still be taken by policymakers and program implementers.
This paper explores the effectiveness of child health interventions and how to improve health care access for children, mothers, and caregivers. Multi-sectoral approaches, including utilization of community-based programming and community health workers, can help extend the reach of health care to these populations.
Daniel Palazuelos, Partners In Health, and Dr. Kevin Fiori, co-founder of Hope Through Health, discuss Dr. Fiori’s organization and global health. Hope Through Health is an organization dedicated to health care delivery in Togo and faced many challenges in its beginnings, but now successfully utilizes community health workers to empower the community and has increased the capacity of the community to hold the health care system accountable for quality and effective health care.
In this roundtable discussion, Daniel Palazuelos, Partners In Health, and Dr. Shreya Kangovi, Penn Center for Community Health Workers, discuss the significance of CHW programs in the United States. Whereas community health workers are often thought to be necessary in resource-poor settings, there is a place for CHWs in the U.S. as they are often a solution to approaching the big picture. Dr. Kangovi founded a domestic U.S.
Daniel Palazuelos, Partners In Health, sits down with Debbie Singh to discuss her experiences working with CHW’s in Uganda. Singh uses Partners In Health’s CHW Framework, 5-SPICE, in Uganda with an emphasis on the importance of trust.
As an attempt to reduce hospital readmissions, a community health worker intervention was used to observe the feasibility and preliminary effect of such a program. The intervention included an inpatient introductory visit and weekly post-discharge telephone support for four weeks. In conclusion, hospital readmission rates were lower among CHW patients compared to usual care, though the difference was not statistically significant.
This paper analyzes trends and various approaches to professional development in U.S. community health worker training and certification programs using a national survey of these training programs. Three trends were identified from the national survey results and data collection: (1) schooling at the community college level—provides career advancement opportunities; (2) on-the-job training—improves standards of care, CHW income, and retention; and (3) certification at the state level—recognizes the work of CHWs, and facilitates Medicaid reimbursement for CHW services.
This paper evaluates the outcomes and feasibility of a promotora (female community health worker in Latino communities)-led lifestyle behavior intervention for overweight immigrant Latinas in the United States. Using a randomized controlled trial design, a culturally-tailored intervention was implemented in the intervention group and an educational program in the control group.
A randomized controlled trial was conducted among low-income households with a child aged 4-12 with asthma with one high-intensity group and one low-intensity group to assess the effectiveness of a CHW intervention focused on reducing exposure to indoor asthma triggers. Community health workers provided in-home environmental assessments, education, support for behavior change, and resources to participants.
This paper focuses on the role and documented effectiveness of CHWs in terms of quality, health care services, cost health services, as well as health behaviors and knowledge about the health care system among underserved populations in the United States. Sixty-five peer reviewed articles and publications were analyzed and compiled as data for this study, many of which indicate that CHW programs can improve access to health care, outreach and enrollment into public benefits, increase culturally competent health education, and reduce the cost of using the health care system.