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The Community-Based Health Workforce in Public Health and Health Care Delivery
Kaha Ahmed1, Letitia Presley-Cantrell, Refilwe Moeti
1Centers for Disease Control and Prevention, Atlanta, Georgia (Mss Ahmed and Moeti, Drs Presley-Cantrell and Hacker); Office of Minority Health, Rockville, Maryland (Dr Wong); Substance Abuse and Mental Health Services Administration, Kansas City, Missouri (Ms Freese); The Assistant Secretary for Planning and Evaluation, Washington, District of Columbia (Ms Taplin); Health Resources & Services Administration, Rockville, Maryland (Mss Rodrigue and Spencer).
Context:
The "community-based workforce" is an umbrella term used by a workgroup of U.S. Department of Health and Human Services (HHS) leaders to characterize a variety of job titles and descriptions for positions in the public health, health care delivery, and human service sectors across local communities.
Approach:
Definitions, expectations of the scope of work, and funding opportunities for this workforce vary. To address some of these challenges, a workgroup of HHS agencies met to define the roles of this workforce and identify existing opportunities for training, career advancement, and compensation.
Discussion:
The community-based workforce has demonstrated success in improving poor health outcomes and addressing the social determinants of health for decades. However, descriptions of this workforce, expectations of their roles, and funding opportunities vary. The HHS workgroup identified that comprehensive approaches are needed within HHS and via public health sectors to meet these challenges and opportunities.
Conclusion:
Using the common term "community-based workforce" across HHS can encourage alignment and collaboration. As the environment for this public health and health care community-based workforce shifts, it will be important to understand the value and opportunities available to ensure long-term sustainability for this workforce to continue to advance health equity.
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