Skip to main content
Rural Health Information Hub

Community Health Workers in Rural Settings – Resources

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

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 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
view details
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 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
view details
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
view details
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
view details
The Use of Community Health Workers in Community Health Centers
Examines changes in the community health workers (CHWs) workforce among community health centers (CHCs) from 2016-2018 and factors associated with the use of CHWs. Features statistics on characteristics of CHCs in the study and factors associated with use of CHWs in CHCs, with breakdowns by rural location.
Author(s): Jeongyoung Park, Marsha Regenstein, Nicholas Chong, Chinelo L. Onyilofor
Citation: Medical Care, 59(10), S457-S462
Date: 10/2021
Type: Document
view details
On the Front Lines of Health Equity: Community Health Workers
Provides an overview of the roles of community health workers (CHWs) and the benefits they can bring to healthcare organizations and communities. Serves as a resource for organizations planning and implementing a new CHW program. Includes information and best practices on assessing community needs, recruiting CHWs, and securing sustainable program funding.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
CHWs At Work: Making a Difference for Oklahoma's Marshallese Community
Highlights an Oklahoma program that uses community health workers (CHWs) for outreach to the Marshallese community in a three-county area. Provides a brief history and overview of the Marshallese population and discusses the health concerns the CHWs address.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud
Presents a study comparing the roles played by community health workers (CHWs) and promotores de salud in serving rural communities in Indiana and Texas. Discusses CHWs role in addressing rural health disparities and describes that role in the wake of the COVID-19 pandemic.
Author(s): Ryan I. Logan, Heide CastaƱeda
Citation: International Journal of Environmental Research and Public Health, 17(24), 9223
Date: 12/2020
Type: Document
view details
Innovative Health Care Provider Roles
Discusses healthcare provider types that might have the potential to benefit rural communities including community health workers, community paramedics, patient advocates, health coaches, and dental therapists.
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Value
view details
Finding Innovation and Resilience During the COVID-19 Pandemic: How Rural Health Organizations Are Adapting Their Program Strategies
Summarizes a series of virtual peer learning sessions in response to COVID-19 for current Rural Health Care Services Outreach Program, Rural Health Network Development, Small Healthcare Provider Quality Improvement, and Delta States Rural Development Network program grantees. Provides an overview of common themes that emerged from the sessions. Discusses the challenges and innovations made to implement rural health and public programs across six areas: community health workers, data collection and evaluation, virtual trainings, peer support services and recovery supports, telehealth utilization, and schools.
Additional links: Adaptive Strategies for Rural Grantees Amid COVID-19: Adjusting Approaches to Data Collection and Utilization, Adaptive Strategies for Rural Grantees Amid COVID-19: Peer Support and Recovery Services in a Virtual Environment, Adaptive Strategies for Rural Grantees Amid COVID-19: Strategies for Supporting Community by Maintaining Work With Schools, Adaptive Strategies for Rural Grantees Amid COVID-19: Taking Community Health Worker Practice Virtual, Adaptive Strategies for Rural Grantees Amid COVID-19: Using Telehealth in New and Improved Ways to Meet Emerging Needs, Guide for Planning and Hosting an Effective Virtual Meeting/Training Event
Author(s): Tanisa Adimu, John Butts, Coleman Tanner, et al.
Date: 05/2020
Type: Website
Sponsoring organization: Georgia Health Policy Center
view details

Additional resources are available related to this guide. See the full list of resources by topic for:

Last Updated: 11/1/2022