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The case for community health workers in high-income countries

by

Authors: Azeb Gebresilassie Tesema, PhD ∙ Dulce Osório, MD ∙ Prof Rohina Joshi, PhD

Health systems in wealthy countries are under strain from ageing populations, staff shortages, and rising costs. Community health workers can help by improving access to care, supporting people with social needs, and keeping care connected in the community. While interest in these roles is growing, most programs are small, short-term, and poorly funded. This paper argues that community health workers should be fully built into primary care teams, not treated as add-ons. To make this work, health systems need clear roles, stable funding, and strong political support. Putting communities at the center of care is key to reducing health gaps and improving outcomes.

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Resource Topic: CHW programs, health systems

Resource Type: Editorial

Year: 2026

Region: Global

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Publisher May Restrict Access: No

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