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"By Us for Us": Lessons Learned in Developing a National Training and Technical Assistance Center by and for CHWs
Ashley Wennerstrom1, Kelsey N Witmeier, Kira Wortmann
1Author Affiliations: Community Health Science and Policy, School of Public Health (Dr Wennerstrom and Ms Witmeier), Center for Healthcare Value and Equity, School of Medicine (Dr Wennerstrom and Ms Wortmann), LSU Health New Orleans, New Orleans, Louisiana; Envision Co-Director, Center for Community Health Alignment (Ms Holderby-Fox), Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; Louisiana Community Health Outreach Network (Ms Haywood), New Orleans, Louisiana; and Envision Co-Director, Mobilizing Action Toward Community Health (Ms Ohly), Population Health Institute, University of Wisconsin, Madison, Wisconsin.
None:
In 2021, the Centers for Disease Control and Prevention (CDC) funded 67 health departments to implement community health worker (CHW) programs to enhance COVID-19 response. The CDC also funded a unique CHW-led Technical Assistance and Training (TTA) Center called Envision, which supported health departments to implement CHW programs and promote CHW workforce sustainability. After 1 year, Envision evaluators interviewed Envision staff to assess barriers and facilitators in developing the Center and the degree to which CHW leadership was operationalized. Thematic analysis revealed 3 themes regarding relationships, CHW values in practice, and operational challenges. Findings informed program updates. CHWs, funders, and policymakers may learn from these experiences.
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