The Patient Protection and Affordable Care Act (ACA) provides a policy framework to re-imagine a system of care that emphasizes health and wellness through new models of primary care and population health interventions. These new models offer the potential to deliver care services at a lower cost, to detect and treat disease earlier, to deploy data and technology to improve population health outcomes, and to address social and environmental conditions that impede efforts to improve health.
CDC has compiled evidence-based research that supports the effectiveness of CHWs in the Community Health Worker Toolkit. The toolkit also includes information that state health departments can use to train and further build capacity for CHWs in their communities, as well as helpful resources that CHWs can use within their communities.
The question of remuneration for community health workers (CHWs) in low--‐income countries remains contentious. Programs use a variety of monetary and non--‐monetary incentives to motivate CHWs. The most successful programs, however, pay their workers, and there is little evidence to suggest that volunteerism in low--‐income countries is sustainable over the long term. Adequate compensation improves health worker motivation, retention and performance. Additionally, fair and consistent wages ensure a stable income and livelihood for CHWs. Although paying workers requires a modest invest
This guide may be helpful to members, or prospective members, of the CHW workforce in a variety of ways. It summarizes evidence-based best practices that CHWs should seek to adopt or reinforce in their work with patients and families. It delineates possible quality indicators for high-quality CHW programs. This guide also provides background on key state policy matters related to the training and certification of CHWs that members of the CHW workforce may wish to influence.
Hello, and welcome to today’s Coffee Break presented by the Evaluation and Program Effectiveness Team in the Division for Heart Disease and Stroke Prevention at the Centers for Disease Control and Prevention. We are really fortunate to have Alberta Mirambeau as today’s presenter. Alberta is from CDC’s Division for Heart Disease and Stroke Prevention and is a Health Scientist on the Evaluation and Program Effectiveness Team. My name is Jan Losby and I am also a member of the Evaluation Team. It is my pleasure to serve as today’s moderator for this 20 minute session.
The purpose of this paper is to promote early and continuous causal thinking as decision makers design, implement, scale up, and evaluate CHW and other programs that are intended to positively affect the public’s health. The methods section describes how the generic CHW logic model was constructed, drawing explicitly on research in LMICs and the informed opinion of CHW experts with experience in these countries. The results section presents a graphic display of the model
Welcome to Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers (the CHW Reference Guide). This guide is a long and detailed volume that is not intended to be read from cover to cover but rather to be used as a document that can be referred to as specific issues or questions arise. In this sense, you will find some repetition. We have also tried to refer the reader to other chapters where appropriate because many topics and issues are covered in various ways in different chapters.
This series of 18 training modules can be used in a five- or six-day workshop to deliver technical content on case management and prevention of common health problems through a community-directed delivery mechanism. These modules build on field experience in delivering malaria services through community effort as well as on the 16+ years of effort by the African Program for Onchocerciasis Control and the Special Program for Research and Training in Tropical Diseases of the World Health Organization and its partners.
Health reform has created a watershed moment for community health workers (CHWs). Both coverage expansions and a new focus on creating value in health care offer new opportunities for CHWs. This paper assesses existing impediments to and enablers of the expansion of CHW employment. It catalogues how the ACA and other health reform efforts affect prospects for sustainable employment for CHWs. It also looks at workforce issues, insurance enrollment needs, affordability and accessibility of services, and changes in approaches to public health and prevention.
In the past decade, the community health worker (CHW) profession in the United States has increased its visibility, but its potential contributions remain underappreciated and more permanent financing is elusive. This paper describes the current state of knowledge about how and where CHWs can contribute effectively, where barriers inhibit efficient deployment of CHWs, and what business models could support change.