Community Health Workers (CHWs)

Who are Community Health Workers and why are they important?

Community Health Workers (CHWs) are frontline public health workers who are trusted members of the community being served (APHA, 2019). The terms Community Health Worker as well as Promotores de Salud are umbrella terms, encompassing over 190 different job titles, including patient navigator, community support specialist, peer educator, and health liaison. CHWs are widely recognized for their role in providing culturally relevant care, relating to the people they are working with as peers, providing health education, and connecting community members to resources. As trusted members of their communities, CHWs also provide valuable information to health care and social service providers about the people these organizations serve to guide effective program and service design and delivery. Through these actions, CHWs help reduce health disparities and mitigate the impacts of social drivers of health. 

CHWs have been around for more than 100 years in both health centers and community-based organizations. CHWs have played a pivotal role during the pandemic: helping people access resources and information while isolating with COVID, supporting rental assistance and other recovery programs, getting people connected to and dispelling misinformation about vaccines, Medi-Cal and public charge. The important, timely, and unique work of CHWs is gaining recognition through funding initiatives at the federal, state, and local levels, including in Medi-Cal transformation initiatives such as Alternative Payment Methodology (APM) and California Advancing and Innovating Medi-Cal (CalAIM). This increased awareness of and funding for CHWs provides both opportunities and challenges for advancing this role.

What we do

At Aliados Health, we support our member health centers and their partner community-based organizations with CHW program implementation and strategy. We do this through:

• Providing funding opportunities for CHWs through pass through grant funding
• Participating in regional strategy work to advance and align the work of CHWs
• Putting forward and highlighting best practices for CHW integration
• Providing technical assistance to member health centers
• Holding and promoting CHW convenings and professional development opportunities
• Advocating for sustainable funding to support CHW positions

Our projects include:

• Solano County CHW Learning Collaborative
• Park-It-Markets (Solano County)
• First 5 Sonoma County Grant: Providing support and pass through funding to health centers to support CHWs serving families with children aged 0-5.
• Participating on Sonoma County Department of Health Services’ CHW Advisory Council to help develop a shared framework for CHWs in Sonoma County
• Partnering with the Northern California Center for Well-Being and Touro University of California to develop a North Bay CHW Training Program that aligns with the training requirements being put forward by the State of California for CHWs to be reimbursed by Medi-Cal.
• Support of Sonoma Connect/Sonoma Unidos, a Community Information Exchange-inspired collaborative designed to connect Sonoma County residents with resources to address physical, behavioral health, and social needs. CHWs are an important part of the Sonoma Connect/Sonoma Unidos Network of Care.