Community Health Worker - Archived Newsletters
Message from the Chair
The need for resources to strengthen the public health workforce is not a deep, dark secret. There are efforts nationally to increase the number of primary care physicians, dentists and nurses. The need will increase as national health reform efforts continue. Programs across the nation offer incentives for new graduates to practice locally or in under-served areas. These are important programs to enhance current public health efforts. Equally important but less talked about is the need to support community health worker programs. We know how important CHW and Promotor(a) programs are to enhance public health efforts, but do your policy-makers and elected officials know?
There have been recent state and national efforts to introduce CHW legislation, obtain accurate counts of the workforce, and to include the workforce in health reform efforts. There are elected officials who understand and support the workforce, but still many who do not. Each of us needs to take responsibility to educate elected officials and other policy-makers on the role of CHWs in public health. The time is now! We can no longer simply hope CHWs will be included in efforts to strengthen public health, including health care reform.
The current move toward health care reform offers unique opportunities. While the train is moving quickly through the station, it’s not too late to get on board. Take this opportunity to call or meet with your legislators and urge them to include CHWs in health reform. Educate them on the role you and your program have to enhance local public health efforts and keep their constituents healthy. Let them know CHW and Promotor(a) programs reach many who would go without services, and share personal stories. Health reform efforts must include improved access, education about the importance of primary and preventive care, and assistance with navigating the health care system as components of success. CHWs can and do enhance all of the above efforts in addition to many others.
It’s important that we all contribute to the effort to educate legislators. There are many different ways you can do this. I’d like first to speak to the CHW supporters. Thank you for your continued support of CHWs. As you reach out to legislators to educate about CHWs, please include at least one CHW in your efforts. The extra effort taken to include CHWs in your efforts to educate legislators will pay off. CHWs will gain the confidence and skills to educate legislators as individuals. These are needed tools to enable CHWs to become vocal champions for our communities and the workforce. The effort to strengthen the CHW workforce must include CHW leadership.
As CHWs, we must take responsibility for educating legislators about the workforce. If this is something you are skilled at and comfortable doing, please reach out to others who may not be. We need many CHWs from many states to become engaged in the effort. APHA offers many opportunities to become engaged in public health advocacy. The CHW SPIG enhances those efforts by offering CHWs the tools and support to become more engaged. Please take advantage of these opportunities. Together we can ensure policies are in place to support public health and the CHW workforce to keep our communities healthy. If not us, then who? If not now, when?
Lisa Renee Holderby
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CHW Policy Updates
by Carl Rush, MRP
Successful Advocacy leads to CHW Occupational Category for 2010 Census
In January 2009, in Federal Register Volume 74, No. 12, the U.S. Office of Management and Budget officially published the 2010 revisions to the Standard Occupational Classification (SOC), which includes a unique occupational classification for Community Health Workers (SOC 21-1094). This achievement caps more than four years of effort by the APHA CHW SPIG. In 2004, the team developing the CHW National Workforce Study for the Health Resources and Services Administration noted that there were no employer data or Census figures for the number of CHWs nationally. This lack of data, coupled with the U.S. Labor Department’s announcement that it would be considering the first series of revisions to its SOC system in time for the 2010 Census, spurred the SPIG Policy Committee to develop a consensus definition of the occupation of the CHW. After much debate over a year and a half, the Committee’s definition was submitted to the Labor Department for consideration. HRSA also recommended officially that such a category be created. However, in 2008, the Labor Department’s first draft of changes listed CHWs in the same category as Health Educators. After receiving several hundred letters commenting that the two occupations were different enough that they should be separate, the final SOC revisions include a separate classification for CHWs.
AHECs Consider Future Role in Support of CHWs
Many Area Health Education Centers (AHECs) around the country have been involved in promoting the CHW field for years but have not had a formal role in CHW education and training. A sister program under HRSA, the Health Education Training Centers (HETCs), which were assigned responsibility under federal law for CHW education and training, were terminated under the Bush administration. The National AHEC Organization (NAO) External Relations Committee formed a CHW Working Group, which is conducting a national survey of AHECs to determine how AHECs are currently supporting CHWs and to what extent they would like to have formal federally supported responsibility for CHW training. The Working Group met at NAO’s recent Spring Policy Days (April 29-May 1) and shared recent federal policy developments. The Obama administration has indicated it would like to see more support for the CHW field, but the only existing laws authorizing federal support are the HETC legislation and the Patient Navigator Act of 2005. At this writing, Congress is drafting at least four more bills which incorporate CHWs.
Patient Navigators and CHWs
“Patient Navigator” programs have become more popular in recent years. The model, pioneered by Dr. Harold Freeman at Harlem Hospital in the early 1990s, provides intensive assistance to patients with complex medical treatments, particularly for cancer. Hundreds of pilot programs have sprung up supported by the American Cancer Society, the National Cancer Institute, Medicare, and the 2005 federal Patient Navigator Act (funded through HRSA). However, there is confusion among many about the similarities and differences between Navigators and CHWs, particularly because many Navigators meet the definition of CHWs – but some Navigators are also nurses, social workers, or other professions. One formulation gaining some support, therefore, is that Patient Navigator is a role or function and not an actual occupation (there is no SOC code for Patient Navigator). The role of Navigator requires specialized training whatever the Navigator’s background. Also, the most commonly accepted definitions of the CHW occupation include duties beyond what Navigators do, such as outreach, population-based prevention education and community capacity-building. The American Cancer Society and National Cancer Institute are seeking funding for a project to set training standards for Patient Navigators, and SPIG representatives would like to use that occasion to reach agreement with other organizations on common definitions of the two fields.
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CHW SPIG Boasts Exciting, Diverse Program for 137th Annual Meeting and Expo
by Rebekah Gowler, MSW, MPH
Massachusetts Department of Public Health
The APHA 137th Annual Meeting and Exposition, “Water and Public Health: the 21st Century Challenge,” will take place in Philadelphia at the Pennsylvania Convention Center, Nov. 7-11, 2009. The Community Health Worker SPIG is pleased to host a full and diverse program of nine sessions, including poster, roundtable, and scientific presentations. These sessions will highlight best practice CHW models, training curricula, and workforce development programs, as well as the impacts CHWs have on health outcomes and service delivery. In keeping with the theme of this year’s meeting, one scientific session focuses exclusively on CHWs’ responses to natural disasters and environmental safety concerns, including CHWs bringing water to the Thar Desert in India, addressing mental health issues in post-disaster New Orleans, and educating residents in Ciudad Juarez, Mexico, about pesticide risks and safety. The selected presentations also demonstrate how widespread the CHW workforce is; presentations describe CHW programs from Africa to London, New York City to India, in urban and rural settings, with immigrant and native populations, and everything in between.
The CHW SPIG will also host a number of business meetings and a social hour during the Meeting and Expo. All are welcome to come mingle and network with CHWs and other SPIG members at the SPIG reception and social hour on Monday, Nov. 9, 2009, from 6:30-8 p.m. The general business meeting for the SPIG will be Tuesday, Nov. 10, 2009, from 6:30-8:00 p.m. All SPIG members are encouraged to attend; business meetings are a great way to become active in the SPIG, which is one of the leading national voices for CHWs, and get to know other members from across the country. The 137th Annual Meeting and Expo is bound to be an exciting and fulfilling experience, so be sure to register soon. To see the full schedule and to register for the meeting, please go to the APHA Web site, www.apha.org/meetings.
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CHWs: The Emerging Profession
by Sergio Matos
In recent years, the community health worker (CHW) field has grown significantly in the United States, with increasing numbers, roles, and visibility of CHWs. State health departments, program administrators, and public health advocates have observed this growth with uncertainty about the definition of a CHW, how CHW roles differ from those of other health professionals, CHW training needs, and the potential impact of growing certification and accreditation regulations.
To ease this confusion, the CHW SPIG has endorsed an official CHW definition:
“Community Health Workers (CHWs) are frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served. This trusting relationship enables CHWs to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. CHWs also build individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy.” – CHW SPIG of APHA, 2008
In January 2009, the Executive Office of the President published the 2010 Standard Occupational Classifications (SOC) which, for the first time, assigns a unique occupational classification for Community Health Worker (SOC 21-1094). To help describe this new SOC we provided this CHW profile, as available on the Web site “Explore Health Careers,” http://www.explorehealthcareers.org/en/Career.157.aspx.
Community health workers are dedicated individuals who function along a continuum ranging from individual and community development to service delivery promoting community empowerment and social justice. They often help link people to needed health care information and services. CHWs work in all geographic settings, including rural, urban and metropolitan areas, border regions (colonias), and the Native American nations. Although CHW roles vary depending on locale and cultural setting, they are most often found working in underprivileged, marginalized communities where people may have limited resources, lack access to quality health care, lack the means to pay for health care, do not speak English fluently, or have cultural beliefs, values and behaviors different from those of the dominant western health care system. In these communities, CHWs play an integral role in helping systems become more culturally appropriate and relevant to the people they are to serve.
CHWs typically have deep roots or shared life experiences in the communities they serve. They share similar values, ethnic background and socio-economic status, and they often speak the same language as the people they serve.
The CHW serves as a bridge between the community and the health care, government and social service systems. The CHW’s responsibilities can include:
- helping individuals, families, groups and communities develop their capacity and access to resources including health insurance, food, housing, quality care and health information.
- facilitating communication and client empowerment in interactions with health care/social service systems.
- helping health care and social service systems become culturally relevant and responsive to their service population.
- helping people understand their health condition(s) and develop strategies to improve their health and well being.
- helping build understanding and social capital to support healthier behaviors and lifestyle choices among people.
- delivering health information using culturally appropriate terms and concepts.
- linking people to health care/social service resources .
- providing informal counseling, support and follow-up.
- advocating for local health needs.
- providing health services, such as monitoring blood pressure and providing first aid.
- making home visits to chronically ill patients, pregnant women and nursing mothers, individuals at high risk of health problems, and the elderly.
- translating and interpreting for clients and health care/social service providers.
CHWs go by many titles, depending on where they work, who they work for and what they do. Common titles include community health advisor, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter, and public health aide. In Spanish-speaking communities, CHWs are often referred to as health promoters or promotores(as) de salud.
The role of the CHW started as a societal position, appointed by and responsible to members of community. Advocates and activists dedicated their time and talents to ensuring that local people received the health information, resources and health care services they needed. The success of their efforts has caused many government agencies, non-profit organizations, faith-based groups and health care providers to create paid positions for CHWs to help reduce, and in some cases eliminate, the persistent disparities in health care and health outcomes in underprivileged communities. The organizations benefit by gaining access to information about health care needs in these communities, which they can use to improve the design of health services.
Community health workers (CHWs) often live in the community they serve. They spend much of their time traveling within the community, speaking to groups, visiting homes and health care facilities, distributing information and otherwise connecting with local people.
Some CHWs work in health facilities, providing case management, client education, interpretation and follow-up care. Others are employed by government agencies and non-profit groups to provide community organizing, health education, Medicaid enrollment and preventive care services “in the field.” These CHWs may staff tables at community events, providing health screenings, referrals, and information and helping people complete applications to access health benefits. They may also visit homes to check on individuals with specific health conditions, drive clients to medical appointments or deliver health education presentations to schoolchildren and their parents and teachers.
CHWs hired by health care agencies often have a disease or population-based focus, such as promoting the health of pregnant women or children, improving nutrition, promoting immunization, or providing education around a specific health issue, such as diabetes or HIV/AIDS.
CHWs are defined by the trust they receive from the communities they work in. To be effective, CHWs must secure, preserve and develop that trust. This can put the CHW in a difficult position, particularly when there is disconnect between program goals and community priorities. For example, communities that rely on their own traditional medical practitioners (such as native healers) may resist efforts by a CHW to refer patients to “Western” health care resources. The CHW must be able to balance their responsibilities to the community with their employer’s agenda.
CHW training and educational requirements vary across states, cities, employers and employment sectors. The CHW field lacks unified training standards, so trainings tend to be generally local and sometimes employer driven. A few states have regulated CHW training through various methods including by developing a standardized curriculum, yet there are very limited examples that follow the recommendations in published “promising practices.” Until a CHW core role is agreed upon, the development of a nationally recognized curriculum framework will continue to vary. Recently, however, states are starting to develop training and credentialing criteria more informed by CHW leadership and by documented “promising practices.” The setting of CHW training programs also varies widely. Some states have developed college-based training, while others have implemented community-based training resources.
Today, CHWs are increasingly recognized for their contribution to community organizing, increasing access to health and improving health outcomes. This increased attention to the CHW role by health care providers, community organizations and government officials has created interest in providing appropriate training and supervision.
Qualifications for CHWs vary widely. Some employers require only a high school diploma, while others require a college degree. CHWs typically receive up to 100 hours of additional training on the job, through classroom study, job mentoring or a combination. CHWs are not licensed, but continuing education requirements may be set by the employer. Several states have begun to develop credentialing programs for CHWs.
An effort is under way to develop state and national standards for training and capacity building for CHWs. One initiative in particular is focused primarily on collecting and sharing “promising practices” among CHWs to ensure that training benefits from and is responsive to the experiences, needs and knowledge level of CHWs. This unique effort was in part a response to the limited success of efforts by states and other regulators to impose standards on the practice without input from CHW practitioners and CHW leaders. Also in light of this growing interest in regulating the practice, several independent professional associations of CHWs have recently organized to address the rapidly emerging policy issues relevant to their practice.
Outlook and Salary Range
Throughout the United States the CHW field is burgeoning, both in interest and demand, yet the practice lacks definition, standards, and openly available training opportunities. The field is also rapidly expanding into new areas of health and community wellness as CHWs continue to improve chronic disease management programs, health insurance enrollment, immunization drives, HIV/AIDS treatment, access to mental health services and maternal-child health interventions. Becoming a CHW is almost an idiosyncratic process, involving individuals seeking opportunities to help their community through a patchwork of employment opportunities, often known only by word of mouth and with highly varied job requirements and situations. This is unfortunate in that the lack of CHW identity and standards of practice has led employers to contribute to the confusion about who CHWs are and what they do.
CHW salaries vary depending on local economies, wage scales and demand. In major metropolitan areas recommended starting CHW annual salaries range from $35,000 to $42,000, while senior CHWs can earn $42,000 to $52,000 and supervising CHWs may earn $52,000 to $60,000. Manager CHWs generally earn salaries above $60,000.
CHWs often are hired to support a specific health initiative, which may depend on short-term funding sources. As a result, CHWs may have to move from job to job to obtain steady income. This short-term categorical funding of health services is a challenge to the stability and sustainability of the CHW practice.
Local, regional and statewide professional associations of CHWs are developing in many states as practitioners of the field organize to address relevant issues. Some of these nascent organizations have established Web-based resources, while others are still building their organizational capacity. A comprehensive and updated listing of these CHW organizations can be found at http://www.apha.org/membergroups/primary/aphaspigwebsites/chw/Resources/
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Meet Us in St. Louis for Unity 2009!
by Susan Johnson
The Center for Sustainable Health Outreach (CSHO) will hold its 10th annual Unity conference July 27-29, 2009 at the Hilton St. Louis Frontenac Hotel in St. Louis, Mo. Unity 2009 is a national conference designed for and about community health workers. The theme for this year’s conference is “Community Health Workers - Celebrating Our Past and Charting the Future.”
Unity 2009 will address the role community health workers play in strengthening and enhancing public health in times of health care provider shortages, tight budgets, and impending public health crises. The conference will stress: the importance of CHWs to the health care and human services delivery systems; ways to develop and sustain CHW programs; strength-based responses to community health shortfalls; new and emerging roles for CHWs; and methods of overcoming barriers to CHW program success.
The conference format will include plenary sessions with addresses from keynote speakers and panelists, as well as numerous breakout, poster, skill-building, and roundtable workshop sessions. Community health workers are strongly encouraged to attend. Unity 2009 is an opportunity for community health workers to share knowledge, information, and expertise with other community health workers and interested parties.
The conference registration fee is $250 and includes training, materials, and lunch each day. Discounted registration fees are available for community health workers and students. A number of limited conference fee waivers are available to community health workers upon request. Conference information is available at http://www.usm.edu/csho, by going to the Unity Conference links.
Exhibit space will be available during Unity 2009. The Center encourages community health worker programs and related service providers and educational programs to exhibit during the conference. To discuss exhibiting during Unity 2009, contact Rebekah Young at (601) 266-5388 or Rebekah.Young@usm.edu. There are also opportunities for your organization and partnering agencies to get national recognition by becoming sponsors for Unity 2009. For more information to sponsor Unity 2009 or other conference activities, please contact Susan Mayfield-Johnson at (601) 266-6266 or firstname.lastname@example.org.
Be sure to mark your calendars now to join us in St. Louis for Unity 2009!
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National Diabetes Education Program Releases New Toolkit for CHWs
The National Diabetes Education Program, a joint initiative of the CDC and NIH, released a toolkit specifically for CHWs who work with Hispanic/Latino and African American/African Ancestry communities who are at risk of type 2 diabetes. The toolkit, entitled Road to Health, focuses on primary prevention of diabetes, and promotes lifestyle change through education on healthy food choices and increasing physical activity. The toolkit includes a variety of materials, including videos, activity guides, resources guides, and CD-ROMs, which CHWs can use with community members to help educate them about healthy lifestyle choices. The toolkit also includes materials for train-the-trainer workshops, so CHWs can become familiar with the materials before using them in the field.
To download the toolkit or order one free copy online (shipping and handling fees apply), go to: www.ndep.nih.gov, or call: (800) 693-6337. Any questions about the toolkit can be directed to Betsy Rodriguez, National Diabetes Education Program director at CDC (email@example.com), or Joanne Gallivan, National Diabetes Education Program director at NIH (firstname.lastname@example.org).
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Outreach NYC – 2009
by Sergio Matos
The Community Health Worker Network of NYC will host its annual CHW conference on August 10, 2009 at the historic and elegant NY Pennsylvania Hotel centrally located in midtown Manhattan. Over 300 CHWs and CHW stakeholders are expected to attend this popular conference. The conference promises to be an exciting, motivating and interesting event, as always. Plenary speakers will address the state of the CHW practice with consideration to how far have we come and where do we go from here. A second plenary session will consider the CHW movement to establish stable sustainable financing models for our practice.
An awards ceremony will honor recipients of the following honors:
CHW of the Year
CHW Champion of the Year for Social Justice
CHW Champion of the Year for Public Health
CHW Champion of the Year for Education & Capacitación
CHW Legislative Champion of the Year
Conference participants will be able to attend breakout sessions (repeated once) to consider and contribute to a consensus building process on relevant policy issue including the following:
CHW Credentialing and Certification
CHW Training Content and Pedagogy
CHW Identity and Scope of Practice
Immigration Issues Affecting CHWs and Our Work
Telling Our Stories - Heroes at Work
Mambo (Salsa) Dance Class
The Community Health Worker Network of NYC is the only independent association for CHWs in New York City and represents over 400 members from over 250 organizations. Our mission is to organize CHWs on issues relevant to our practice.
The Network promotes dialog among members so that they may develop a collective voice to inform policy relevant to our practice and share our experiences, concerns, challenges and successes. The Network is recognized as a pioneer in the training of CHWs in both core competencies and health-related specialties and has trained over 500 CHWs to date. The Network advocates for the:
- Self-determination and CHW leadership of all policy issues relevant to our practice.
- Integration of CHWs into the health and social service systems with dignity and respect.
- Training in core competencies and health-related specialties that is appropriate in both content and pedagogy.
- Direct payment for CHW services for improved compensation, professional mobility and stable financing.
For more information, please visit the CHW Network of NYC Web site at www.chwnetwork.org.
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by Carolyn Beal
The 2008-09 year was a busy one for Arizona Community Health Outreach Workers Network Inc. (AzCHOW Network). Led by a 10-member volunteer board of directors, the AzCHOW Network is the professional membership organization for all community health workers in the state of Arizona. The membership includes promotores de salud, community health representatives and other individuals who are engaged in community health outreach work. AzCHOW’s major accomplishments of the year included recruitment of new members, development of a Community Health Worker Newsletter, and the development of a new annual training. This year was also bittersweet as AzCHOW said goodbye to Nancy Collyer as she left her role of technical advisor for AzCHOW to pursue an active retirement. Happily, Nancy continues to support AzCHOW in an advisory role.
The AzCHOW Network held its 6th Annual Business Meeting on April 24, 2009 in Tucson, Ariz. Despite difficult economic times, the conference was well attended, drawing over 80 participants to the one-day training from all corners of the state of Arizona as well as the Hopi, Navajo and Tohono O’odham Nations. The vision for the conference was to develop the skills of community health workers to use in their daily work with diabetes and other chronic diseases. Generous sponsorship from the Arizona Diabetes Program made this year’s event possible. The morning consisted of a two-hour advocacy workshop led by Maia Ingram and Samantha Sabo of the University of Arizona, Mel and Enid Zuckerman College of Public Health. In the workshop, participants developed an understanding of advocacy and how it can be used to create changes in their agencies, communities, and daily lives. Following the workshop, conference attendees engaged in a ‘Mercado de Ideas’ (Market of Ideas). Agencies from around the state were invited to act as table hosts and share their best practices. Hosts of the this year’s tables included: Navajo Special Diabetes Program, The Prevention Research Center’s Pasos Adelante, Mariposa Community Health Center, the Arizona Health Sciences Library, C.E. Rose Family Center, Pima County Cervical Cancer Prevention Partnership, Carondelet Diabetes programs, the Arizona Department of Health’s Health Start program, and the Arizona Cancer Center.
The afternoon provided a chance for members to network over lunch, exchanging ideas and experiences while enjoying good company. The afternoon session included computer skills training for beginners and more advanced computer users. Sonia Medina from the Mel and Enid Zuckerman College of Public Health presented the Internet searching workshop, which helped participants feel comfortable doing a search for health related topics on the Web. Annabelle Nuñez of the Arizona Health Sciences Library led a workshop on Microsoft PowerPoint, teaching participants how to create effective presentations. The final session of the day included the Annual Business Meeting and ever popular raffle, where lucky participants won gifts from the Hopi Nation and local Tucson businesses. AzCHOW looks forward to further expanding its services to members and growing with the demands of the field over the next year. For more information about the Arizona Community Health Outreach Workers Network, Inc., e-mail email@example.com.
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CHW Association and Network Corner: CHWs Are Organizing
Across the country, at all levels (statewide, locally and nationally), CHWs are organizing professional associations or networks. CHW associations advocate for CHWs and the communities they serve. They give CHWs a means of gaining additional skills, accessing
support and recognition, and sharing resources and strategies with peers. This regular newsletter feature highlights the ongoing organizing efforts of CHWs across the country. We urge CHWs to contact their local networks and get involved! If there is no network in your area, think about starting one. Contact the network nearest you for information and strategies about organizing. We recognize the enormous energy and commitment of CHWs as they organize. We also know that this is only a partial list of CHW associations. If you know of others, please let us know! Contact Newsletter Editor Gail Hirsch at: firstname.lastname@example.org or (617) 624-6016.
National CHW Associations
American Association of Community Health Workers: Durrell Fox email@example.com and Pam Chapman firstname.lastname@example.org, Co-chairs.
American Public Health Association CHW Special Primary Interest Group: Lisa Renee Holderby, Chair, (617) 524-6696 X. 102, email@example.com.
Community Health Workers National Network Association: Wandy Hernandez Chair, Chicago Health Connections 957 W. Washington Boulevard, Chicago, IL 60607; (312) 243-4772, Zaida.
National Association Community Health Representatives: Cindy Norris, President, PO Box 1064, Sells, AZ (502) 471.3487 firstname.lastname@example.org
State/Regional CHW Organizations
Arizona Community Health Outreach Workers Network (AzCHOW), Of, By, and For Community Health Outreach Workers; http://www.publichealth.arizona.edu/azchow/ Flor Redondo, Chair email@example.com
The Community Health Worker/Promotoras Network, Maria Lemus, Executive Director, Vision Y Compromiso, 2536 Edwards Ave., El Cerrito, CA 94530; (510) 232-7869; (510) 231-9954 fax; e-mail: firstname.lastname@example.org, or Maria at email@example.com
REACH-Workers – the Community Health Workers of Tampa Bay. Please contact Michelle Dublin, chairperson of the network, at (727)588-4018 or Michelle_Dublin@doh.state.fl.us
Georgia Community Health Advisor Network, Gail McCray, Department of CH/PM
Morehouse School of Medicine, 720 Westview Drive, Atlanta, GA 30310-1495
Ph: (404) 752.1645, firstname.lastname@example.org
HAWAII – in process of forming CHW organization. Leimomi Shearer, CHW email@example.com 69-A Railroad Ave, Hilo, Hawaii 96720
Wandy Hernandez Chicago Health Connections 957 W. Washington Boulevard, Chicago, IL 60607; (312) 243-4772
Community Outreach Workers Association of Maryland, INC. (COWAM), 259 North Lanvale Street, Baltimore, Md. 21217, (410) 664-6949 or (410) 669-7960, Carol Payne, firstname.lastname@example.org
Massachusetts Association of Community Health Workers (MACHW), Lisa Renee Holderby, Executive Director, email@example.com, 434 Jamaicaway, Jamaica Plain MA, 02130 (617) 524.6696 x 102
Michigan CHW Coalition, Celeste Sanchez at firstname.lastname@example.org or Grace Cadena at email@example.com, (616) 328.4475.
Minnesota CHW Peer Network out of the Minnesota International Health Volunteers,
122 W. Franklin Ave. #522, Minneapolis, MN 55404, Anita Buel, Vice Chair, AnitaBuel2004@yahoo.com , Grace Anderson, Chair firstname.lastname@example.org or Andrea Leinberger (staff) (612) 230-3254 email@example.com
NEW JERSEY – no CHW organization but the NJ CHW Institute is supporting the development of CHW groups. Contact person Dwyan Monroe, Deputy Director, Community Health Worker Institute, NJ AHEC/ UMDNJ-SOM, 42 Laurel Road E., STE. 3200 Stratford, NJ 08084; ph: (856) 566-6024, fax: (856) 566-2754 e-mail: firstname.lastname@example.org.
New Mexico Community Health Workers Association (NMCHWA), P.O. Box 81433
Albuquerque, New Mexico 87198, email@example.com or BJ Ciesielski, firstname.lastname@example.org, (505) 272-4741
New York City -Community Health Worker Network of NYC; 425 E. 25 Street; New York, NY 10010; (212) 481-7667 Sergio Matos, Executive Director Sergio@chwnetwork.org or Romy Rodriguez, Chair, Romelia@chwnetwork.org ; Web site: http://chwnetwork.org/
Rochester - Rochester Outreach Workers Association (ROWA), Latisha Williams, Chair, (585) 274-8490, Lwilliams@monroecounty.gov
Community Health Worker Association, Vivian J. Anderson, M.A., President , phone (614) 466-2247, Email:email@example.com
Oregon Community Health Workers Association, 9000 N. Lombard Street--2nd Floor, Portland, OR 97203, (503) 988-3366, ext 28686, Teresa Ríos, firstname.lastname@example.org, or Veronica Lopez Ericksen, email@example.com
South Texas Promotora Association, Weslaco, Texas; Ramona Casas (956) 783-9293
Washington Community Health Worker Network
Lilia Gomez - (360) 786-9722 (ext 230) - firstname.lastname@example.org
Seth Doyle - (206) 783-3004 (ext 16) - email@example.com
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New Book On Disability Studies
"Disability and Public Health," published by APHA, is now available. The publication is an important and overdue contribution to the core curriculum of disability studies in public health education
It is a particularly timely book because, as our nation ages, disability is an increasingly significant interdisciplinary area of study and service domain in public health. Visit the APHA online bookstore at www.aphabookstore.org/
. APHA members can also take advantage of a 30 percent member discount whether ordering online or via our toll-free number, (888) 320-2742.
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APHA Membership Information
For those of you who are not members of the CHW Special Primary Interest Group or APHA itself, please consider joining us! If you are a member of APHA, the SPIG also welcomes you to join us as a primary member.
If you are unable to select CHW SPIG as your primary affiliation in APHA, please consider electing the CHW SPIG as a secondary section, and you will receive our CHW newsletter!
For those of you who are not yet members of APHA, there are many options for membership:
· A Special Community Health Worker subsidized membership ($65 annually for those whose income is under $30,000 annually);
· A consumer subsidized membership ($65 annually for those who do not derive income from health related activities);
· A Student/Trainee subsidized membership ($50 annually for those enrolled in a college or university or occupied in a formal training program);
· Regular membership is $160 annually.
Memberships include all benefits such as the American Journal of Public Health and The Nation’s Health. For details on how to become a member of APHA and how to designate the CHW SPIG as your Section/SPIG, please call (202) 777-APHA. You can also check out APHA's Web site at http://www.apha.org or e-mail firstname.lastname@example.org.
In the event you cannot become an official member of APHA, we still need your wisdom, support, knowledge and power. Please feel free to contact any of the officers listed in this newsletter about the CHW SPIG and how you can be involved.
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APHA 2009 Community Health Worker SPIG Executive Council
Governing Council Representative
Lisa Renee Holderby
Massachusetts Association of Community Health Workers
(617) 524-6696, ext. 102
Carl H. Rush
Community Resources, LLC
University of Southern Mississippi
Governing Council Representative
New England HIV Education Consortium
and Massachusetts Association of
Community Health Workers
Teresa M. Hines, MPH
Director, Continuing Medical Education
Paul L. Foster School of Medicine, TTUHSC
4800 Alberta Avenue
El Paso, Texas 78805
(915) 783-6220 fax
Healthcare Education Industry Partnership
Minnesota State Colleges and Universities
Immediate Past Chair
Community Health Worker Network of
NYC and Columbia University
Mailman School of Public Health
Maria Alvarez deLopez
Spectrum Health/ Healthier Communities
Massachusetts Department of Public Health
Centers for Disease Control and Prevention
Education y Capacitación Committee
Community Health Worker Network of
New York City
E. Lee Rosenthal
University of Texas at El Paso
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