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Core Competencies and a Workforce Framework for Community Health Workers: A Model for Advancing the Profession
Hannah Covert1, Mya Sherman1, Kathleen Miner1
1Hannah Covert, Mya Sherman, and Maureen Lichtveld are with the Center for Gulf Coast Environmental Health Research, Leadership and Strategic Initiatives; School of Public Health and Tropical Medicine; Tulane University; New Orleans, LA. Kathleen Miner is with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
Objectives:
To establish a validated, standardized set of core competencies for community health workers (CHWs) and a linked workforce framework.
Methods:
We conducted a review of the literature on CHW competency development (August 2015), completed a structured analysis of literature sources to develop a workforce framework, convened an expert panel to review the framework and write measurable competencies, and validated the competencies (August 2017) by using a 5-point Likert scale survey with 58 participants in person in Biloxi, Mississippi, and electronically across the United States.
Results:
The workforce framework delineates 3 categories of CHWs based upon training, workplace, and scope of practice. Each of the 27 competencies was validated with a mean of less than 3 (range = 1.12-2.27) and a simple majority of participants rated all competencies as "extremely important" or "very important."
Conclusions:
Writing measurable competencies and linking the competencies to a workforce framework are significant advances for CHW workforce development. Public Health Implications. The standardized core competencies and workforce framework are important for addressing health disparities and maximizing CHW effectiveness.
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