Aida and al-Azza refugee camps were founded in Palestine in 1950 and currently have an estimated population of 7,500 and a population density of roughly 220,000 people per square mile. Aida and Al-Azza are adjacent to the separation wall and a military barracks in Bethlehem in the Occupied Palestinian Territory. A recent report described the Aida camp as the most heavily teargassed population in the world.1 Lajee Center, a community-based cultural center located in Aida, and 1for3, a Boston-based NGO that empowers underserved Palestinian communities, established the Health for Palestine (H4P) initiative to address the social and political determinants of health in both camps. H4P is a community health worker (CHW) program that focuses on non-communicable diseases and psychological trauma related to the historical and ongoing colonial violence that so profoundly mark trajectories of Palestinian refugee wellness. The program’s goal is to generate a people-centered grassroots health movement that will coordinate with existing health delivery partners, which can be integrated into a comprehensive health system. Starting in 2018, the initiative presently supports six CHWs and 80 clients. This case study describes the H4P CHW initiative and shares results of a recent qualitative research study that will help refine the program and contribute to its expansion in this complex environment in which individual health is heavily influenced by geopolitics.