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Community Health Workers in Rural Settings – Resources

Selected recent or important resources focusing on Community Health Workers in Rural Settings.

Critical Lessons from a Pragmatic Randomized Trial of Home-Based COVID-19 Testing in Rural Native American and Latino Communities
Examines the impact of utilizing community health workers (CHWs) to provide COVID-19 home testing in rural Latino and Native American communities. Includes data on completion of COVID-19 tests and provides qualitative feedback on accessibility, feasibility, and completion of COVID-19 home testing with CHW assistance.
Author(s): Eliza Webber, Sonia Bishop, Paul K. Drain, et al.
Citation: Journal of Rural Health
Date: 03/2024
Type: Document
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Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers
Details a study exploring how rural and underserved urban communities in Kansas are screening for social determinants of health and using community health workers to address challenges. Bases findings on surveys of providers and clinic managers.
Author(s): Kristina M. Bridges, Joseph W. LeMaster, Daniel J. Parente, et al
Citation: Journal of Primary Care and Community Health, 14
Date: 12/2023
Type: Document
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Engaging Community Health Workers/Youth Ambassadors to Improve Health Literacy: Proceedings of a Workshop – in Brief
Summarizes presentations and discussions from an April 2023 workshop on the use of community health workers and youth ambassadors to promote health literacy in their communities. Highlights lessons learned by Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19 and the National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities (NIMIC) grantees who implemented health literacy approaches in community health worker and youth ambassador programs. Includes rural references throughout.
Additional links: Read Online
Date: 07/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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How Community Health Workers Are Impacting Rural Communities
Describes ways in which communities can use funding to build community health worker programs in order to reduce health disparities. Highlights the University of Kansas Medical Center's Local Health Equity Action Teams initiative in 10 counties, 6 of which are rural.
Author(s): Shelby Rowell
Date: 04/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing CHWs to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional setting such as a food bank distribution center, county fair, livestock auction, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
Type: Document
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State Policies for Expanding Medicaid Coverage of Community Health Worker (CHW) Services
Discusses state Medicaid coverage policies regarding Community Health Workers (CHWs) in place as of July 1, 2022, and planned for fiscal year 2023. Covers CHW coverage initiatives implemented or planned through Medicaid state plan amendments, Section 1115 demonstration authority, and as part of a Center for Medicare and Medicaid Innovation (CMMI) model.
Date: 01/2023
Type: Document
Sponsoring organization: KFF
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Community Health Worker Intervention Improves Early Childhood Vaccination Rates: Results from a Propensity-Score Matching Evaluation
Examines the effectiveness of community health worker (CHW) home visiting interventions in the Health Start Program (HSP) in Arizona to improve childhood vaccination rates. Utilizes the Arizona State Immunization Information System (ASIIS) database to compare vaccination uptake among children whose mothers participated in the HSP between 2006 and 2016 to a demographically similar cohort. Analyzes vulnerable populations with a history of low vaccination uptake including Hispanic/Latinx, American Indian, children of low socioeconomic status and/or living with parents with less than a high school education, rural border counties, children with teen mothers, and first-born children.
Author(s): Patrick Wightman, Kelly McCue, Samantha Sabo, et al.
Citation: BMC Public Health, 22,1854
Date: 10/2022
Type: Document
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Promotoras de Salud in a Father-Focused Nutrition and Physical Activity Program for Border Communities: Approaches and Lessons Learned from Collaboration
Explores the role community health workers, or promotoras de salud, played in the design, implementation, and evaluation of a father-focused health program for rural Latino communities on the U.S.-Mexico border. Highlights some of the health and wellness issues for children and adults in the poor and underserved colonias along the U.S.-Mexico border.
Author(s): Cassandra M. Johnson, Marlyn A. Allicock, Joseph R. Sharkey, et al.
Citation: International Journal of Environmental Research and Public Health, 19(18), 11660
Date: 09/2022
Type: Document
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Evaluating the Dissemination and Implementation of a Community Health Worker-Based Community Wide Campaign to Improve Fruit and Vegetable Intake and Physical Activity among Latinos along the U.S.-Mexico Border
Describes a culturally tailored community-wide program to augment fruit and vegetable consumption and promote physical activity among 5,686 low-income Latinos of Mexican descent living in Texas. Features demographics and statistics on changes in fruit and vegetable consumption over the course of the intervention.
Author(s): Paul Gerardo Yeh, Belinda M. Reininger, Lisa A. Mitchell-Bennett, et al.
Citation: International Journal of Environmental Research and Public Health, 19(8), 4514
Date: 04/2022
Type: Document
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Medicaid Coverage of Community Health Worker Services
Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Last Updated: 4/2/2024