• Skip to main content
  • Skip to secondary menu
  • Skip to footer
CHW Central

CHW Central

A global resource for and about Community Health Workers

DONATE
  • Home
  • About
    • About CHW Central
    • Contact Us
    • FAQ
    • Meet Our Interns
    • Partners
    • TAG Members
  • Features
  • CHW Voices
    • Blogs
    • Photo Essays
    • Podcasts
    • Videos
  • CHF Hub
    • Country Resources
    • Country Voices
    • Courses & Partner Resources
    • Financing Resources
  • Learning Hub
  • Resources
    • All Resources
    • Training Resources

Examining the Macrosystem Level of Influence on Community Health Worker Effectiveness in the State of Nebraska: A Qualitative Approach

by

Authors: Ashley Mulcahy Toney, Tyler Martin, Sophi Sanchez, Megan S Kelley, Angela L Palmer-Wackerly, Virginia Chaidez

This study sought to explore macrosystem-level barriers faced by CHWs to performing their jobs effectively in Nebraska, USA. Qualitative interviews were conducted with CHWs and uncovered insights in relation to the following themes: (1) CHWs and client macrosystem barriers, (2) CHW workforce supports, and (3) macrosystem solutions for CHW workforce sustainability. Macrosystem barriers affecting CHW workforces included immigration policies, insurance policies, funding sources, supervisor support, and obstacles for health seeking of clients. These results indicate the need to provide and advocate for solutions that prioritize the needs of CHWs as they continue to fill a crucial gap in community healthcare systems.

Related

Link: Examining the Macrosystem Level of Influence on Community Health Worker Effectiveness in the State of Nebraska: A Qualitative Approach

Download Resource

Resource Topic: CHW Role, Influence

Resource Type: Research

Year: 2022

Region: North America (U.S. and Canada)

Country: United States of America

Publisher May Restrict Access: No

Related

Footer

Important Site Links

About Us
Contact us
FAQ
Technical Advisory Group (TAG)
Partners

Social Media

  • Bluesky
  • Facebook
  • LinkedIn
  • Twitter

Translate Site

CHW Central is a 501(c)3 educational non-profit organization.

Copyright © 2026 Initiatives Inc. · Contact Us · Log in
Digital Marketing by Bricks & Clicks Marketing