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A Case Study of CHW Integration in Two Health Departments in Southern Arizona
Maia Ingram1, Andi Medrano, Dolores Encinas
1Author Affiliations: College of Public Health, Department of Health Promotion Sciences, University of Arizona, Tucson, Arizona (Ms Ingram, Mx Medrano, Mr Cordova, Mr Seline, and Mr Addington); Pima County Health Department, Tucson, Arizona (Ms Encinas and Ms Itule-Klasen); Department of Health Promotion Yuma County Public Health Services District, Yuma Arizona (Ms Coronado and Ms Esparza); and College of Social and Behavioral Sciences, Department of Mexican American Studies, University of Arizona, Tucson, Arizona (Dr Wilkinson-Lee).
Abstract:
The objective of our participatory case study of community health worker (CHW) integration was to describe the role of CHWs in two local health departments (LHDs). Study partners co-developed an interview guide based on an existing framework. Fourteen staff participated in interviews. CHWs build community trust for LHDs, provide LHD core services, identify community concerns and priorities, and address social determinants of health. Integration barriers include hiring protocols, lack of understanding of the CHW role, inadequate compensation, and sustainable funding. The study identified key factors for an integration process that promotes the effectiveness, wellbeing, and sustainability of the workforce.
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