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<strong>Community</strong> Health Workers in the U.S.o In many cultures, traditional healing systemsdeveloped before Western medicine…many formsgrew in the U.S.o The American Indian community “medicine men”o Latino Communities…”curanderos”…naturalhealers/medicine meno Natural “lay aids” (Promotores grew to be verypopular in U.S.-Mexico border neighborhoods, butthey are found today throughout the country…awide migration of Hispanics
o History in the U.S.o 1950s: saw the first volunteer and paid CHW programso Started in Native Nations in the west and in migrant farm workercamps in the southwesto Indian Health Service (1960s) community health representatives(CHRs)o 1960s and 1970s growth of community health centers(CHCs) with outreach staff.o 1970s referred to as “lay health advisors” (no longer called “lay”workers for the most part nationally today)o 1980s the Federal “Healthy Start” Program and RuralHealth Outreach Grants (HRSA) employed CHWso 1980s motivated by the AIDS epidemic…investments incommunity health outreach programs (founded 1987 the AIDSCoalition to Unleash Power (ACTUP)
Page 1: Community Health Workers: Historica
Page 5 and 6: History in the U.S.o The National C
Page 7 and 8: CHW Definition and Core RolesooooTh
Page 9 and 10: Education and Competence8 Skill Com
Page 11 and 12: Curriculum Developmentso Then came
Page 13 and 14: Credentialing CHWsooTexas: The Texa
Page 15 and 16: Some Cautionso CHWs need to know th

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