Developing a Sustainable Community Health Workforce in Arkansas

Arkansas faces significant health disparities, including high rates of chronic diseases and limited healthcare access, especially in rural and underserved communities. Community Health Workers (CHWs) serve as essential links between the healthcare system and these communities and address the state's significant health disparities through culturally appropriate care. This article describes the development of CHW programs in Arkansas, including early CHW training initiatives, the formation of the Arkansas Community Health Workers Association (ARCHWA), the state's adoption of standardized CHW training, the establishment of a CHW certification process, including an apprenticeship program and college credit, and the introduction of upskilling opportunities. The article describes both failed and successful legislative efforts. By detailing how collaborative efforts among healthcare organizations, community stakeholders, and public health entities have supported ongoing education, career development, and policy advocacy, this article may provide an example for other states striving to enhance their CHW workforce.