- published: 02 Jul 2015
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Community health workers (CHW) are members of a community who are chosen by community members or organizations to provide basic health and medical care to their community. Other names for this type of health care provider include village health worker, community health aide, community health promoter, and lay health advisor.
In many developing countries, especially in Sub-Saharan Africa, there are critical shortages of highly educated health professionals. Current medical and nursing schools cannot train enough workers to keep up with increasing demand for health care services, internal and external emigration of health workers, deaths from AIDS and other diseases, low workforce productivity, and population growth. Community health workers are given a limited amount of training, supplies and support to provide essential primary health care services to the population. Programs involving CHW in China, Brazil, Iran and Bangladesh have demonstrated that utilizing such workers can help improve health outcomes for large populations in under-served regions. "Task shifting" of primary care functions from professional health workers to community health workers is considered to be a means to make more efficient use of the human resources currently available and improving the health of millions at reasonable cost.
Community health, a field of public health, is a discipline which concerns itself with the study and improvement of the health characteristics of biological communities. While the term community can be broadly defined, community health tends to focus on geographical areas rather than people with shared characteristics. The health characteristics of a community are often examined using geographic information system (GIS) software and public health datasets. Some projects, such as InfoShare or GEOPROJ combine GIS with existing datasets, allowing the general public to examine the characteristics of any given community in participating countries.
Because 'health III' (broadly defined as well-being) is influenced by a wide array of socio-demographic characteristics, relevant variables range from the proportion of residents of a given age group to the overall life expectancy of the neighborhood/community. Medical interventions aimed at improving the health of a community range from improving access to medical care to public health communications campaigns. Recent research efforts have focused on how the built environment and socio-economic status affect health.
A health professional or healthcare provider is an individual who provides preventive, curative, promotional or rehabilitative health care services in a systematic way to people, families or communities.
A health professional may operate within all branches of health care, including medicine, surgery, dentistry, midwifery, pharmacy, psychology, nursing or allied health professions. A health professional may also be a public/community health expertee working for the common good of the society.
Healthcare practitioners include physicians, dentists, pharmacists, physician assistants, nurses, advanced practice registered nurses, surgeons, surgeon's assistant, athletic trainers, surgical technologist, midwives, dietitians, therapists, psychologists, chiropractors, clinical officers, social workers, phlebotomists, occupational therapists, physical therapists, radiographers, respiratory therapists, audiologists, speech pathologists, optometrists, emergency medical technicians, paramedics, medical laboratory scientists, medical prosthetic technicians and a wide variety of other human resources trained to provide some type of health care service. They often work in hospitals, healthcare centres, and other service delivery points, but also in academic training, research, and administration. Some provide care and treatment services for patients in private homes. Many countries have a large number of community health workers who work outside formal healthcare institutions. Managers of healthcare services, health information technicians, and other assistive personnel and support workers are also considered a vital part of health care teams.
Health is the level of functional or metabolic efficiency of a living organism. In humans it is the ability of individuals or communities to adapt and self-manage when facing physical, mental or social challenges. The World Health Organization (WHO) defined health in its broader sense in its 1948 constitution as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." This definition has been subject to controversy, in particular as lacking operational value and because of the problem created by use of the word "complete" Other definitions have been proposed, among which a recent definition that correlates health and personal satisfaction. Classification systems such as the WHO Family of International Classifications, including the International Classification of Functioning, Disability and Health (ICF) and the International Classification of Diseases (ICD), are commonly used to define and measure the components of health. Health is that balanced condition of the living organism in which the integral, harmonious performance of the vital functions tends to the preservation of the organism and the normal development of the individual.
A community is a social unit of any size that shares common values, or that is situated in a given geographical area (e.g. a village or town). It is a group of people who are connected by durable relations that extend beyond immediate genealogical ties, and who mutually define that relationship as important to their social identity and practice. Although communities are usually small, community may also refer to large groups, such as national communities, international communities, and virtual communities.
The word "community" is derived from the Old French comuneté which comes from the Latin communitas (from Latin communis, things held in common).
In human communities, intent, belief, resources, preferences, needs, and risks, may be shared in common, affecting the identity of the participants, and their degree of cohesiveness.
Community studies is an academic field drawing on both sociology and anthropology and the social research methods of ethnography and participant observation in the study of community. In academic settings around the world, community studies is variously a sub-discipline of anthropology or sociology, or an independent discipline. It is often interdisciplinary and geared toward practical applications rather than purely theoretical perspectives. Community studies is sometimes combined with other fields, i.e., "Urban and Community Studies," "Health and Community Studies," or "Family and Community studies."
A Day in the Life of a Community Health Worker
Employing a Community Health Worker
Making the Business Case: Community Health Workers Bridge Health Care Gap
Who are community health workers? Meet three women who are saving lives in rural Kenya
A Career as a Community Health Worker (JTJS52010)
Community Health Worker Roles
Community Health Worker - Introduction to Motivational Interviewing
Community Health Workers: Reducing Costs and Disparities
Filling the gap with community health workers
The Importance of Community Health Workers
Lawanda Tensley is a Community Health Worker with the UT Physicians Center for Healthy Aging and Multi-Specialty Clinic, part of The University of Texas Health Science Center at Houston (UTHealth). In this video, Tensley describes how Community Health Workers help patients get the resources they need to live a healthier life.
Many employers do not recognize the scope of work outlined for Community Health Workers or that they employ Community Health Workers. Better understanding the Community Health Worker role as part of the healthcare team and as a health care extender in the community can help resolve some of the disconnection between the health system, the Community Health Worker, and bi-directional referrals.
Improved quality of care, increased compliance, and reduced costs—these are just a few of the many benefits of including community health workers as part of a comprehensive health care team. Research has shown that community health workers can help patients—especially those with language or other barriers—navigate complex health care systems. See an example from an Oklahoma City, OK, health alliance. Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html This video can also be viewed at http://www.cdc.gov/nccdphp/dch/videos/CDC_CommunityHealthWorker_160316_V16_256.mp4
Across the central belt of sub-Saharan Africa, 10 to 20 percent of children die before reaching the age of 5. Maternal death rates are also high. Community health workers (CHWs) deliver life-saving healthcare services where they’re needed most, in poor rural communities. The World Health Organization estimates there are over 1.3 million community health workers worldwide, including the United States. Watch three of these health workers describe their experience in rural Kenya in this short film by the Skoll Foundation. Thank you to the Rotary International, Kilifi Kids and the Ministry of Health of Kilifi for making this video possible. Learn more at http://www.medicmobile.org. The Skoll Foundation drives large-scale change by investing in, connecting, and celebrating social entrepren...
Alex from John Paul College in Rotorua enjoys working in the community and learning about nutrition so the career of a community health worker is something she is particularly interested in checking out. She joins Iwi Te Whau who explains the community health worker is the link between the community and the public health service. The role incorporates looking at ways to help reduce major health problems such as smoking, being overweight and the spread of diseases such as H1N1. Education is another key part of the job and Alex and Iwi head off to a kohanga reo to teach the children a fun song while learning a good hand washing technique. It's not just young children Iwi works with and Alex joins him at a smoke free meeting where they are brainstorming ideas to get this important message...
Community Health Worker — CRRC "Introduction to Motivational Interviewing" - by Keri Bolton Oetzel, PhD
Find out how CHWs help achieve the "triple aim" of improving the care experience and health outcomes while reducing costs and disparities for underserved patients.
There is a global shortage of 7.2 million health workers worldwide – and this is set to rise to 12.9 million by 2035. Community Health Workers (CHWs) are a sustainable and effective way to fill this gap and extend health services to remote communities in developing countries. CHWs can play a vital role in diagnosing and treating the most common infectious diseases and childhood illnesses, provide care for pregnant women and newborn babies, and educate communities about preventive health measures. They can also refer patients on to hospitals when more critical care is needed. Malaria Consortium has been working across Africa to expand and improve community health programmes to bring healthcare closer to communities that need it most. Our projects work to find innovative ways to build on ...
This video highlights interviews from local health care leaders in Chicago on the importance and the value that Community Health Workers (CHWs) bring to patients. Featuring: ● James Galloway, MD - Assistant Surgeon General, US Department of Health and Human Services ● Bachara Choucair, MD - Commissioner, Chicago Department of Public Health ● Alan H. Channing, MD - President and CEO, Sinai Health System ● Bruce Miller, MHA - CEO Lawndale Christian Health Center ● Phyllis Ferguson-Collum, MS - Director, CHW, Lawndale Christian Health Center ● Carmen Velasquez - Director, Alivio Medical Center ● Karen Baker - Director and Manager Northwest Community Hospital's Palatine Opportunity Center ● Rose Jensen, RN - Northwest Community Hospital's Palatine Opportunity Center ● Rosa Vasquez, CHW - Nort...
Lawanda Tensley is a Community Health Worker with the UT Physicians Center for Healthy Aging and Multi-Specialty Clinic, part of The University of Texas Health Science Center at Houston (UTHealth). In this video, Tensley describes how Community Health Workers help patients get the resources they need to live a healthier life.
Many employers do not recognize the scope of work outlined for Community Health Workers or that they employ Community Health Workers. Better understanding the Community Health Worker role as part of the healthcare team and as a health care extender in the community can help resolve some of the disconnection between the health system, the Community Health Worker, and bi-directional referrals.
Improved quality of care, increased compliance, and reduced costs—these are just a few of the many benefits of including community health workers as part of a comprehensive health care team. Research has shown that community health workers can help patients—especially those with language or other barriers—navigate complex health care systems. See an example from an Oklahoma City, OK, health alliance. Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html This video can also be viewed at http://www.cdc.gov/nccdphp/dch/videos/CDC_CommunityHealthWorker_160316_V16_256.mp4
Across the central belt of sub-Saharan Africa, 10 to 20 percent of children die before reaching the age of 5. Maternal death rates are also high. Community health workers (CHWs) deliver life-saving healthcare services where they’re needed most, in poor rural communities. The World Health Organization estimates there are over 1.3 million community health workers worldwide, including the United States. Watch three of these health workers describe their experience in rural Kenya in this short film by the Skoll Foundation. Thank you to the Rotary International, Kilifi Kids and the Ministry of Health of Kilifi for making this video possible. Learn more at http://www.medicmobile.org. The Skoll Foundation drives large-scale change by investing in, connecting, and celebrating social entrepren...
Alex from John Paul College in Rotorua enjoys working in the community and learning about nutrition so the career of a community health worker is something she is particularly interested in checking out. She joins Iwi Te Whau who explains the community health worker is the link between the community and the public health service. The role incorporates looking at ways to help reduce major health problems such as smoking, being overweight and the spread of diseases such as H1N1. Education is another key part of the job and Alex and Iwi head off to a kohanga reo to teach the children a fun song while learning a good hand washing technique. It's not just young children Iwi works with and Alex joins him at a smoke free meeting where they are brainstorming ideas to get this important message...
Community Health Worker — CRRC "Introduction to Motivational Interviewing" - by Keri Bolton Oetzel, PhD
Find out how CHWs help achieve the "triple aim" of improving the care experience and health outcomes while reducing costs and disparities for underserved patients.
There is a global shortage of 7.2 million health workers worldwide – and this is set to rise to 12.9 million by 2035. Community Health Workers (CHWs) are a sustainable and effective way to fill this gap and extend health services to remote communities in developing countries. CHWs can play a vital role in diagnosing and treating the most common infectious diseases and childhood illnesses, provide care for pregnant women and newborn babies, and educate communities about preventive health measures. They can also refer patients on to hospitals when more critical care is needed. Malaria Consortium has been working across Africa to expand and improve community health programmes to bring healthcare closer to communities that need it most. Our projects work to find innovative ways to build on ...
This video highlights interviews from local health care leaders in Chicago on the importance and the value that Community Health Workers (CHWs) bring to patients. Featuring: ● James Galloway, MD - Assistant Surgeon General, US Department of Health and Human Services ● Bachara Choucair, MD - Commissioner, Chicago Department of Public Health ● Alan H. Channing, MD - President and CEO, Sinai Health System ● Bruce Miller, MHA - CEO Lawndale Christian Health Center ● Phyllis Ferguson-Collum, MS - Director, CHW, Lawndale Christian Health Center ● Carmen Velasquez - Director, Alivio Medical Center ● Karen Baker - Director and Manager Northwest Community Hospital's Palatine Opportunity Center ● Rose Jensen, RN - Northwest Community Hospital's Palatine Opportunity Center ● Rosa Vasquez, CHW - Nort...
Slides: http://bit.ly/BGCHWWIslides Beginning the Story of Community Health Workers in Wisconsin
Description• Provide evidence based strategies in using Community Health Workers (also known as Community Health Advisor, Outreach Worker, Promotora/Promotores de Salud, Peer Leader etc.) in a healthcare system. • Understand the Community Health Worker role in primary care today. • Understand how payers are using Community Health Workers today. • Learn more about Community Health Worker Training Efforts