Among the potential changes invoked in discussions on health system transformation, a need to revitalize primary care remains paramount. One way of doing this, most agree, is to move more in the direction of team-based care. Professionals such as physician assistants and nurse practitioners may be able to ease some of the physician's clinical care load, but some populations … [Read more...] about Community health workers: a front line for primary care?
Issue papers
Texas’ Community Health Workforce: From State Health Promotion Policy to Community-level Practice
In 1999, Texas became the first state in the nation to recognize these workers and their contributions to keeping Texans healthy. This paper examines a state health promotion policy that culminated in a training and certification program for promotores and the impact of this program on the lay health education workforce in Texas. In 1999, the Texas legislature established the … [Read more...] about Texas’ Community Health Workforce: From State Health Promotion Policy to Community-level Practice
CHWs get credit: a 10-year history of the first college-credit certificate for community health workers in the United States.
Community health workers have become increasingly important in the U.S. health care system, playing a significant role in basic health promotion and care coordination; however, their status and visibility have not kept pace with their wider use. A major impediment has been the absence of systematic preparation-the field needs standardized education in programs that emphasize … [Read more...] about CHWs get credit: a 10-year history of the first college-credit certificate for community health workers in the United States.
Factors influencing the retention and attrition of community health aides/practitioners in Alaska.
The Community Health Aide Program (CHAP) is a unique program employing local, indigenous peoples as primary care nonphysician providers in extremely remote frontier, tribal Alaskan communities. With attrition rates up to 20%, recommendations for improving retention are necessary to maintain access to health services for Alaska Natives in these communities. The purpose of … [Read more...] about Factors influencing the retention and attrition of community health aides/practitioners in Alaska.
Injectable contraception provided by community-based health workers: one important step toward meeting unmet need
Community-based provision of injectable contraception continues to advance and is gaining wider acceptance—a major step toward meeting unmet need. However, fully addressing family planning need will require access to a much wider range of methods, including long-acting reversible contraception and permanent methods. … [Read more...] about Injectable contraception provided by community-based health workers: one important step toward meeting unmet need