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    This study details an equitable compensation model for community health workers in Southern Arizona. The model values lived experience and subject expertise, aiming to improve participation in health literacy programs.

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    Area of Science:

    • Community Health
    • Health Literacy
    • Health Equity

    Background:

    • Community-driven initiatives require equitable compensation models.
    • Human-centered design emphasizes valuing lived experience.
    • Distributive justice principles guide fair compensation.

    Purpose of the Study:

    • To develop and describe an equitable compensation model for a community health literacy initiative.
    • To integrate lived experience with subject matter expertise in compensation.
    • To address gaps in literature regarding compensation for community-centered public health work.

    Main Methods:

    • Developed a compensation model blending market, reimbursement, and wage-payment frameworks.
    • Adjusted compensation based on local labor conditions and federal funding limits.
    • Capped payments below IRS reporting thresholds to protect public benefits eligibility.

    Main Results:

    • Compensation supported participation, particularly for newcomers to public health programs.
    • Identified implementation challenges including gift card fraud and administrative delays.
    • Provided practice-based insights on rate structures, payment mechanisms, and budget considerations.

    Conclusions:

    • The developed model offers a framework for equitable compensation in community health.
    • Addressing implementation challenges is crucial for successful program execution.
    • Further research is needed to formally evaluate the impact of such compensation models.