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Implementation Considerations

Community health workers (CHWs) most often work as part of a team. Whether a CHW is a participant in a new or an existing program, it is important to clarify the specific duties and activities of the CHW. Clarifying a CHW's role and expectations will help ensure successful implementation.

Basic program implementation tasks for CHW programs may include:

  • Determining community to be served (needs assessment)
  • Program coordination responsibilities
  • Identifying appropriate CHW program models
  • Recruitment and supervision of CHWs
  • Staff retention
  • Training
  • Research and program evaluation

Resources to Learn More

Community Health Worker Toolkit
A compilation of evidence-based research supporting the effectiveness of CHWs. Describes how state health departments can train and further build capacity for CHWs in their communities and provides resources CHWs can use in their communities.
Organization(s): Centers for Disease Control and Prevention

Community Health Workers: Part of the Solution
Traces how two states, Massachusetts and Minnesota, initiated comprehensive policies to foster utilization of CHWs and, in the case of Minnesota, to make their services reimbursable under Medicaid.
Author(s): Rosenthal, E.L., Brownstein, J.N., Rush, C.H., Hirsch, G.R., Willaert, A.M., Scott, J.R., Holderby, L.R., & Fox, D.J.
Citation: Health Affairs, 29(7), 1338-1342
Date: 7/2010

Community Health Worker (CHW) Toolkit: A Guide for Employers
Provides information and resources to support the implementation of CHW programs, with a focus on integrating CHWs into existing organizations and practices.
Organization(s): Minnesota Department of Health, Office of Rural Health and Primary Care
Date: 2016