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CHW Definition and Core Roleso The definition of community health workers has evolved sincethe 1970s, and several studies have particularly focused on roledefinitions, education or training, scope of practice responsibilities,and validation of competence.o The APHA SPIG (now CHW Section) submitted the followingdescription of the CHW field to the U.S. Dept. of Labor in 2007:“A community health worker (CHW) is a frontline public healthworker who is a trusted member of and/or has an unusually closeunderstanding of the community served. This trusting relationshipenables the CHW to serve as a liaison/link/intermediary betweenhealth and social services and the community to facilitate access toservices and improve the quality and cultural competence of servicedelivery. A CHW also builds individual and community capacity byincreasing health knowledge and self-sufficiency through a range ofactivities such as outreach, community education, informalcounseling, social support and advocacy.”o In January, in the Federal Register Vol. 74(12) the U.S. OMBpublished the 2010 revisions to the Standard OccupationalClassification (SOC) giving a unique occupational classification for“community health workers (SOC 21-1094).
CHW Definition and Core RolesooooThe National Community Health Advisor (CHA) Study (Rosenthal andadvisors/contributors, 1998) is the first examination nationally of “whoCHWs are, how they are defined, and what core roles and responsibilitiesare delineated by CHWs, themselves, and by CHW health and humanservices programs.”The Rosenthal study was highly participatory with a 36-member advisorycouncil composed primarily of CHAs, who were representative of CHAnetworks and programs throughout the U.S.; the council also included CHAprogram supervisors (non-CHAs as such) and CHA advocates from thepublic and private sector. The term Community Health Advisor (CHA) wasused at this time (1994-98) as the generic for CHWs (today’s generic termnationally).The council role was to refine the study agenda, interpret data gathered,and develop recommendations (the precepts of CBPR).Study issue Areas were:(1) CHA core roles and competencies(2) Evaluation strategies for CHA programs(3) CHA career and field advancement(4) The role of CHAs in the changing health system
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CHW Definition and Core Roleso The definition of community health workers has evolved sincethe 1970s, and several studies have particularly focused on roledefinitions, education or training, scope of practice responsibilities,and validation of competence.o The APHA SPIG (now CHW Section) submitted the followingdescription of the CHW field to the U.S. Dept. of Labor in 2007:“A community health worker (CHW) is a frontline public healthworker who is a trusted member of and/or has an unusually closeunderstanding of the community served. This trusting relationshipenables the CHW to serve as a liaison/link/intermediary betweenhealth and social services and the community to facilitate access toservices and improve the quality and cultural competence of servicedelivery. A CHW also builds individual and community capacity byincreasing health knowledge and self-sufficiency through a range ofactivities such as outreach, community education, informalcounseling, social support and advocacy.”o In January, in the Federal Register Vol. 74(12) the U.S. OMBpublished the 2010 revisions to the Standard OccupationalClassification (SOC) giving a unique occupational classification for“community health workers (SOC 21-1094).
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