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Contents -- Preface -- Chapter 1 -- Community Health Workers: Role and Opportunities in Health Care Delivery System Reform( -- Introduction -- Roles in Health Care Delivery -- CHW Training and Credentialing -- A National Profile of CHWs -- Evidence on the Clinical Impact of CHWs -- Reimbursement -- Opportunities through the CMS -- Innovation Center -- Conclusions -- Appendix A: CDC Assessment of Policy Impact Potential for CHW Interventions -- Appendix B: Opportunities for CHW Service Reimbursement through Medicaid -- Appendix C: CMS Innovation Center - State Innovation Model Test Awards

By drawing on the results obtained from this research, this book presents the case of CHWs in Tanzania and discusses issues involved in their training, and work within the larger framework of Primary Health Care and socio-economic development

Major global health institutions, public and private, currently see community health workers (CHWs) as crucial resources. But the daily experiences and complex motives of CHWs, as well as their concerns and criticisms, remain poorly understood by the institutions that promote their value and draw on their labor. Donors, states, NGOs, and other public health institutions often approach the motivations and performance of CHWs as problems that can be solved with a mix of psychological, economic, and management theories; novel incentive packages and supervisory structures; and surveys, interviews, and randomized controlled trials. This special issue shifts the goal toward documenting power inequalities, labor relations, and interactions among CHWs, donors, health officials, supervisors, and care recipients. The articles in this issue offer valuable ethnographic accounts of CHWs in 21st‐century Africa, Latin America, and Asia, and deliver a clear message: CHWs participate in important relationships and politics, seeking change in their own job conditions and roles, and other social, political, and economic changes. These forms of "participation" are variable, evolving, and shaped by unique local histories as well as transnational policies and norms. The articles here aim to demonstrate that ethnography and mixed methods can help bring about improvements in policy and practice by explaining and interpreting CHW practices and governance and by encouraging global health actors to treat CHWs not as magic bullets or human resources, but as people with multiple skills, desires, and perspectives.

This document provides guidance and resources for implementing recommendations to integrate community health workers (CHWs) into community-based efforts to prevent chronic disease. After providing general information on CHWs in the United States, it sets forth evidence demonstrating the value and impact of CHWs in preventing and managing a variety of chronic diseases, including heart disease and stroke, diabetes, and cancer. In addition, descriptions are offered of chronic disease programs that are engaging CHWs, examples of state legislative action are provided, recommendations are made for comprehensive polices to build capacity for an integrated and sustainable CHW workforce in the public health arena, and resources are described that can assist state health departments and others in making progress with CHWs. ; "9/27/11." - date from document properties ; Available via the World Wide Web as an Acrobat .pdf file (923.07 KB, 20 p.). ; Includes bibliographical refernces (p. 13-16).

Abstract
ABSTRACTCommunity health workers (CHWs) occupy a liminal position in two senses: they are situated between the communities they come from and serve, and the health and social service professionals with whom they connect patients; and also between two forms of knowledge. In interacting with health and social service institutions, they draw on the 'technical knowledge' that dominates these settings. However, they must also draw on 'communicative knowledge', which is the situated and embodied knowledge needed to gain the trust of their community peers and to carry their voice, but which is often relegated to a secondary position. In this US-based study, we analyze interviews with CHWs, their supervisors, and advocates of their work, to better understand how CHWs mobilize discursive resources to combine these two forms of knowledge and, in doing so, constitute their liminal position as an essential asset. Our findings support valuing CHWs' incorporation within healthcare teams, so that health and social service professionals can directly interact with CHWs' situated and embodied knowledge of patients.

"In Boundaries of Care, Ryan I. Logan introduces readers to the lived experience of community health workers and how, through outreach and advocacy, these workers intimately shape and improve the well-being of their communities. Boundaries of Care also highlights the nuances of their caregiving, challenges experienced, and ways to advance and support this workforce"--

Objective: to describe the perception of community health workers about risks and injuries related to their occupational activities. Method: This is a qualitative research, descriptive and exploratory, developed in basic health units in Recife (PE), Brazil. The Bardin's content analysis was used for the systematization and analysis of data. Results: The results show that community health workers perceive their exposure to occupational risks and health problems. Direct sunlight can contribute to the emergence of health problems, which were perceived as musculoskeletal, cardiovascular, dermatological and psychological. Conclusion: The working conditions may pose an obstacle to the profession and deserve special attention in the adoption of health promotion measures.