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Commentary: A Community Organizing Model for Advancing CHW Workforce Sustainability
Lesley Wolf1, Sherri Ohly, Lisa Renee Holderby-Fox
1Author Affiliations: UW-Madison, School of Medicine and Public Health, Population Health Institute, Madison, WI, USA (Wolf, Ohly, Bristol); Center for Community Health Alignment, University of South Carolina, Columbia, SC, USA (Holderby-Fox); LSU Health-New Orleans, Community Health Science and Policy, LSU School of Public Health, New Orleans, LA, USA (Wennerstrom); and Center for Healthcare Value and Effectiveness, Community and Population Medicine, School of Medicine, New Orleans, LA, USA (Wennerstrom).
Abstract:
Community health workers (CHWs) play a vital role in advancing health equity, improving health outcomes, and addressing the social determinants of health. However, funding for CHW positions and supportive policy infrastructure to sustain a thriving CHW workforce remain elusive. This commentary provides a definition of CHW workforce sustainability and an overview of how a CHW-led national training and technical assistance center used a community organizing framework to build the capacity of CHWs and their allies to advance local sustainability efforts. The model includes four key objectives: (1) grow CHW leadership and policy capacity, (2) build strong relationships and partnerships, (3) establish supportive systems and policies, and (4) implement diverse financing mechanisms. It also offers a conceptual model to illustrate the steps CHWs can take to lead local efforts to advance CHW workforce sustainability.
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