Community Health Worker - Archived Newsletters
Message from the Chair
Greetings to all and welcome to the CHW SPIG newsletter experience! We continue to strive to make this newsletter an enlightening experience for CHWs and other public health professionals.
We are preparing for APHA’s Annual Meeting in Washington, D.C. Nov. 6-10, with the theme “Public Health and Environment.” As we do this, we need to acknowledge the environment in which many CHWs operate daily. Reductions in available resources, increasing demands from all directions (clients, communities, agencies, health and human service systems) are commonplace for CHWs across the country. To compound this, we suffer from lack of sustainability in our jobs and living wages, and, in some cases, benefits. We continue to struggle and overcome barriers and obstacles to be the consummate examples of public health professionals (for more on that subject, please read “Are Community Health Workers Professionals?” by Lisa Renee Siciliano.)
The CHW SPIG leadership and membership are active year round, in advocacy efforts and initiatives across the country aimed at reducing barriers to care and services, and eliminating racial, ethnic and linguistic health disparities. I’m urging all CHWs to get involved in advocacy efforts aimed at defining, sustaining and further developing CHWs. The CHW profession is in a critical development stage and we need all CHWs and CHW networks/associations to step it up a notch! We must continue to constantly connect, educate and support each other in our efforts to unify under the umbrella term CHW. Part of this is getting more CHWs involved in developing a national CHW definition that encompasses our spirit and essence. Because there are more that 100 titles for CHWs across the country, we must heighten the awareness amongst our ranks, that we are all indeed CHWs, with the understanding that strengthening our numbers will increase our leverage when advocating for our clients, communities and our profession.
I strongly advocate for all CHWs to begin scheduling a set time each month (or week if possible) to connect with other CHWs who are not part of your agency or discipline. This CHW connection concept is based upon the strength and support many CHWs receive while attending conferences and network meetings with other CHWs. Try blocking out a half hour and schedule and make a call or send an e-mail to a CHW from another part of the country or your state. Informally share some recent lessons learned or a strategy you used to overcome a barrier for your clients or your work. Create a CHW network or networking opportunity in your city or state. Please use the CHW network listing in this newsletter as a starting point. If needed, you can also contact any of the CHW SPIG executive board members. Link up with your allies and partners for support in building a network. There are many areas in this country where agencies get funding for CHW workforce development, training or studies. Find out if an agency or university in your city or state has received some CHW related resources, and enlist them in your efforts.
CHWs provide a wide spectrum of services throughout a wide spectrum of communities (using the broad meaning of community). We utilize a wide spectrum of strategies, interventions and prevention tools as we develop and apply effective public health and wellness theories. Our workforce inherently represents one of the broadest spectrums of diversity in health and human services. This diversity is apparent whether you look at our cultures and nationalities, our educational backgrounds, our areas of expertise, our languages or our length of service. Since many of you already know this, we ask you to share it with someone who may not (including legislators, policy makers, administrators and all of the stakeholders in our communities and service areas).
As always I urge all of you to join our SPIG, become active in leadership and share information about the state of CHWs in your city, state, and region.
Durrell J. Fox
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Join us as Community Health Workers Take Washington, D.C. by Storm!
The Community Health Workers Special Interest Group (CHW SPIG) is planning an exciting and full program for APHA 2004! This year’s program features presentations by over 50 frontline Community Health Workers from diverse programs across the United States. From the south to border communities in the southwest, from urban neighborhoods in New York and Chicago to rural areas in New England and New Mexico, from California, Texas, Georgia, Ohio and Virginia -- this year’s presenters provide a window into the vital role of community health workers in every region of our country. Our 2004 program presenters include CHWs who reach migrant farm workers with crucial health messages, provide education and support to people living with HIV/AIDS, develop cancer prevention programs, promote health access for asthma and diabetes care, implement innovative new practices in outreach, and work to empower and organize their communities.
Challenging issues in the Community Health Worker field including CHW credentialing and certification, sustainability of CHW programs, and CHW advocacy and organizing efforts will be explored in several sessions. A special Roundtable Session on Tuesday will give participants the opportunity to hear from innovative CHW career development and education programs.
In addition to eight oral sessions and two poster sessions, look for us at our booth in the Exhibit Hall. There, you may sign up for our mailing list, pick up information on the sessions, meet SPIG representatives, share your ideas for the SPIG, and learn about CHW programs all over the country.
And don’t miss our second annual CHW Reception, which will be held on Monday evening from 6:30 - 8:00 p.m. Please join us for refreshments, raffle prizes, and most importantly, an opportunity to meet colleagues and CHWs from all areas. The next morning, we'd love to welcome you to the General Business meeting held bright and early from 6:30- 8:00 a.m. Learn about activities the SPIG is involved in and sign up to join one of our committees. We are always excited to see new faces and to reconnect with old friends during this meeting.
All events will be held at the Grand Hyatt Hotel. For more details, search for the CHW SPIG program at:
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Are Community Health Workers Professionals?
Community health workers (CHWs) are emerging nationally as an essential public health workforce. Our emergence is not unlike that of social workers or nurses in the past, and we are facing some of the same challenges. Those of us in the field and our supporters realize the vital role we play in both assisting communities with access to the health care and human delivery system and in improving health status. Our roles range from conducting outreach to vulnerable populations about existing services to assisting communities to organize to bring needed services into communities, and everything in between.
Currently, there is ongoing debate in regard to CHWs. The debate is not about whether or not the CHW model works. There appears to be consensus among CHWs and supporters that many families, individuals and communities access services and that health status can be improved when CHWs are working in the community. I’m sure you are asking yourself, what is the debate about, if not about the effectiveness of CHWs?
Many e-mails traveled over the wires one recent weekend asking the question, “Are CHWs public health professionals, and is community health work be a profession?” Many views were expressed. Some hoped their comments would clarify the issue, others openly shared their confusion and still others of us voiced strong opinions on one side of the issue. I can only offer my personal point of view, which I feel confident is shared by many other CHWs, and, I hope, by most of our supporters and allies. We are public health professionals, and many of us have chosen community health work as our profession.
Many professions within public health and human services have struggled with the same issue. Over time most are now considered professionals and their chosen field a profession, including social workers, substance abuse counselors and nurses. During the 15 years that I have been a CHW, I have heard us referred to by many job titles, and we have been lumped into various classifications. In my home state of Massachusetts, we have over 60 job titles and are recognized as professionals and specialists in some arenas, and in others as paraprofessionals. Some classifications are acceptable to me and others are not. One classification that is not acceptable to me, and that I encourage my fellow CHWs to hold steadfast against, is that of “paraprofessional.”
Paraprofessional implies “not quite, almost or sort of” professionals. CHWs are not “almost, sort of or not quite” anything, and the people we work with don’t “almost, sort of or not quite” receive services. We often go the extra mile, when others have closed down and gone home for the day, to assure that communities and individuals receive all the services they are entitled to from other professionals. Being considered a paraprofessional encourages program administrators to pay poor wages, offer poor benefits and provide poor working conditions! Are other professionals asked to work for less than a living wage, piece together a full time position from two or more part-time positions or work for little or no benefits? I think not!
CHWs are public health professionals! We have been embraced as professionals by well-respected organizations for public health professionals. APHA and the Massachusetts Public Health Association, among others, have taken public positions recognizing CHWs as public health professionals. Many other national organizations, such as the Institute of Medicine and the National Rural Health Association, have written statements on the vital role we play in health care access.
I am urging my fellow CHWs to take steps now to ensure that CHWs are recognized as professionals by other public health professionals. Educate! Each time you hear CHWs referred to as anything other than professionals, speak up. Take the opportunity to educate others about CHWs, much in the same way we take opportunities to educate communities about health. Get involved! There are national initiatives led by CHWs, including the APHA CHW SPIG, to define who we are as a workforce. Don’t leave it to others; you may not be satisfied with the end result. Organize! If there is not an organization in your region for CHWs, start one. Begin talking to other CHWs you are in contact with. Talk to those of us who have organizations in our regions. Stay active! Defining our field and taking a stance is not an easy task, nor is it something that can be accomplished quickly. Don’t get frustrated after two or three calls or meetings.
Within each discipline we may have different roles and job titles. Different regions of the country may have a slightly different take on our day-to-day activities to fit the region’s needs. However, regardless of our job title, discipline, or region of the country, as a profession we must have a unified front. We can’t be divided on the question, “Are CHWs professionals?”
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The Power of Mothers and Daughters: Two CHWs Speak Out!
CHWs are most often women, and they often work with women and their families. Sometimes intergenerational teams of mothers and daughters join efforts to empower both each other and the communities where they work. Two CHW moms speak out here about the strength of these bonds and how these relationships have empowered them both personally and professionally.
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Mother/Daughter CHW Team: The Mother Perspective by Doretta Thomas
How did you get involved in community health work?
Over five years ago, my daughter asked me if I would like to be an outreach coordinator in Amish country to try to reduce the high breast cancer death rates among Amish women. I had originally worked doing data entry for my daughter as a temporary assignment, and I was very reluctant to take on the position as a community health worker. I was working part-time at a doctor’s office, which I loved, and I didn’t feel that I had the time or the qualifications to adequately do the job. I only have a high school diploma, and I felt someone with a college degree is what the job required. My daughter, however, convinced me that I could do the job better than anyone else because I was very interested in the battle against cancer. Besides, I have lived my entire life in Appalachia, Ohio, and she told me that my experience in the community would greatly benefit the project.
What moved you to get involved?
I have always found the Amish community to be fascinating. As a child, I would see them in my hometown from time to time and studied them in school and thought their whole concept of religion, family, and community spirit was a great inspiring way of life. If I could be accepted in their community, then I could learn more about them and their way of life to help them prevent the suffering I knew that cancer causes so many families.
What is it like working with your daughter?
My daughter and I have always had a very special relationship. We share a lot of similarities. She brings out the best in me in ways no one else ever has. When I think there is something I can’t do that she asks of me, she always encourages me to try, and for some reason, it always seems to work out for the best. She tests me over and over in areas I’ve never known. Many of my self-doubts came from my incorrect thinking that formal education is the key factor in working. She’s made me realize that community outreach is more about compassion, and for this I am most grateful. As her mother, I want more than anything in life to see her succeed, and when she asks for my help, it is so rewarding to feel that I am helping her achieve her goals.
What is the benefit to having generations of CHWs for communities?
In the Amish world, family is the center of a community. Since family is regarded as a top priority, when the communities see us working together as mother and daughter, it makes them feel more comfortable and puts us at a level of respect and trust.
Anything else you would like to add?
My experience as a CHW with my daughter has been one of the greatest times of my life. Just when I was feeling my working years were coming to an end and my usefulness was starting to wane, my daughter showed me that I still had a lot to give at any age. My daughter is an inspiration to the young and the old, and she has made me see that we should never be afraid to give of ourselves to help others.
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My Daughter, My Inspiration: A Mother's Story by Esther Holderby
Some call it destiny. I prefer to call it a religious plan. I've been surviving cancer for the last 24 years, and now I've arrived at a very special place in my life.
For the last eight years I have been affiliated with a health care agency as a Breast Cancer Consultant. I speak to lower income woman in the community about early breast cancer detection and about my journey with cancer.
Initially I had not considered myself a Community Health Worker until my daughter Lisa Renee (CHW Advocate) brought it to my attention that we're both CHWs, across different disciplines, but with the same goals -- a healthy community.
Now, in addition to my breast cancer efforts, my daughter has invited me into her advocacy world. This was the beginning of another journey for me.
So mother and daughter have become joined at the hip by using cross referrals across our particular disciplines. She refers me to women faced with cancer and fearful of what lies ahead for them. I depend on her knowledge regarding the role of an advocate. We both believe that this sharing of information can only make our communities stronger.
I have always been a fighter for my rights, but now I have become a fighter for the rights of the community. Because Lisa Renee shares her experience and know-how with me (i.e. who the policy makers are; when and where meetings are scheduled; the particular policy maker's background and his/her stand on particular issues that affect the community), I have been able to speak to members of Massachusetts Gov. Romney's Executive Office for Administration and Finance and also Massachusetts State Representatives concerning issues relative to budget cuts, program cuts, health care, health insurance, income, tenants rights -- all affecting the poor, the elderly, immigrants, children and the disabled.
Working with my daughter is a most gratifying experience for me. Lisa Renee and I now share workshops and podiums together. We have successfully intertwined two very different professional paths. When she was a child, I taught Lisa Renee. As an adult, Lisa Renee is teaching me.
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CHW Network Corner
In this regular newsletter feature, the CHW SPIG highlights the ongoing organizing efforts of CHWs across the country at all levels –- local, state and national. This information helps CHW networks share organizing experiences and strategies. It can help enhance the national CHW movement.
We recognize the enormous efforts of CHWs that are making this happen, and we also know that this is only a partial list. If you know of other CHW networks, please let us know! Contact the Newsletter Editor, Gail Ballester, at
firstname.lastname@example.org, or (617) 624-6016.
In each issue, we spotlight one network. If you would like us to highlight your network in a future issue, please contact the newsletter editor. This time, we are featuring one of the oldest CHW networks in the country: COWAM (Community Outreach Workers Association of Maryland, Inc.)
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Spotlight on COWAM
The Community Outreach Workers Association of Maryland (COWAM) was formed in 1998 as the result of the efforts of skilled outreach workers. That year, 90 community health workers, outreach workers, and other health care professionals mobilized and gave testimony in support of the Maryland Health Outreach Act (Senate Bill 650). Outreach workers described their roles, components of community outreach, and the value of comprehensive outreach strategies in underserved communities. This legislation requires Managed Care Organizations (MCOs) serving Medicaid recipients to develop a written plan outlining outreach components that must be approved and monitored by the Secretary of Health. This bill gives outreach workers legitimacy, by incorporating them as essential members of the health care system, providing and linking good health care resources throughout their communities.
Based on the success from Senate Bill 650, outreach workers decided to continue advocacy efforts after going to Annapolis, and organized to form the Community Outreach Workers Association of Maryland (COWAM). They wanted to continue to meet and network as well as recruit other outreach workers in Maryland.
The goals of COWAM are to help communities empower themselves, to develop outreach worker sustainability, to advocate for the communities we serve as well as the workers themselves, and to help reshape the needed change in public health. COWAM’s vision is to create a network of community-based advocates who lead in using partnership development, outreach, health promotion, prevention strategy development and awareness to improve the health of Maryland’s citizens
Developed in Baltimore, the association is mobilizing a statewide network of outreach workers. These outreach workers have formed an alliance that focuses on networking and sharing better ways to serve the communities and clients where they do outreach, and becoming a sustainable, effective and integral link to good health care services. COWAM is developing a database that will identify existing outreach programs, is building capacity for CHWs and the communities they serve, and is advocating for effective public health policies.
To find out more about COWAM, contact Dwyan Monroe, president and co-founder, at (410) 522-6500 ext. 256 or
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New CHW Network in Florida!
On Wednesday, August 4, 2004, the Maternal and Child Services Workforce Development Program held a “Celebration of the Role & Work of Community Health Workers, Outreach, Family Health, and Support Workers” in the Greater Tampa Bay Area, and 125 CHWs from the Tampa Bay Area attended. They were able to celebrate their work and the invaluable contributions they make to the lives of families and young children in the Bay Area. This opportunity allowed them to network with other colleagues doing similar work in South Central Florida. Featured presenters were CHWs from New York, Ohio, Mississippi and Hawaii.
The Community Health Workers of the Tampa Bay Area have organized a network. It is called “REACH-Workers” (R for recognition, E for empowering, A for association, CH for Community Health Workers. They have held two meetings and currently have 42 members. Collaboratively the group has:
Michelle Dublin, a CHW from the Tampa Bay Area, is the chairperson of the network. Michelle can be reached at (727)588-4018.
- Developed a formal name for the network (REACH);
- Set strategies for recruitment of members and sustainability of the network;
- Determined the mission and vision statement of the network;
- Developed goals for the network; and
- Elected officers and determined a meeting schedule.
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National and State Networks
The Lay Health Workers/Promotores National Network
(877) 743-1500 or e-mail:
Arizona Community Health Outreach Workers Network (AzCHOW), Of, By, and For Community Health Outreach Workers; www.publichealth.arizona.edu/azchow/
Lours Fernandez, Co-Chair; Flor Redondo, Co-Chair; Belen Feather, Secretary
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:
email@example.com, or Maria at: firstname.lastname@example.org. Florida
REACH-Workers – the Community Health Workers of Tampa Bay. Please contact Michelle Dublin, Chairperson of the network, at (727)-588-4018.
Community Health Worker Training Program, Hawaii Primary Care Association, Napualani Spock, Coordinator, P.O. Box 264, Pu'unene, HI 96784, Ph: (808) 280-0984;
Fax: (808) 573-0734; email@example.com.
Community Outreach Workers Association of Maryland, INC. (COWAM), 259 North Lanvale Street, Baltimore, Md. 21217, (410)664-6949 or (410) 669-7960, Dwyan Monroe, President.
Massachusetts Community Health Worker Network (MACHW), Lisa Renee Siciliano, Chair, firstname.lastname@example.org, (508) 791-5893, c/o Massachusetts Public Health Association, 434 Jamaicaway, Jamaica Plain, MA 02130.
Extensions - Connecting Outreach Workers Throughout New Jersey and Beyond
Purpose: Extensions is proud to be the formalized, voluntary, statewide educational association for New Jersey Outreach Workers. Extensions' purpose is to connect Outreach Workers located throughout the state and to provide opportunities for current information exchange. Extensions is the creation of the Gateway Maternal and Child Health Consortium, one of the New Jersey Maternal and Child Health Consortium. Goals: 1. To provide linkage to other Outreach Workers throughout the state and nationally. 2. To support regional efforts. 3. To promote awareness and recognition of the occupation of outreach work. For membership application and more information, call Gateway MCH Consortium at (973) 268-2280 or Pat Wrazz at: email@example.com. Healthy Mothers/Healthy Babies of Essex, Nichele J. Wilson,
303-309 Washington Street, Newark, NJ 07102, (973) 621-7758, firstname.lastname@example.org. New Mexico
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
Executive Board Contact info:
President--Sylvia Ornelas (505) 982-5460
Vice President--Terri Smith (505 894-0543
Secretary--Margarita Jaquez (505) 882-7370
Treasurer-- Teresa Saiz (505) 262-2480 X232
New York City -Community Health Worker Network of NYC; 425 E. 25 Street; New York, NY 10010; (212) 481-7667 phone; Sergio Matos, Elena Schwolsky, Rita Taylor, and Romy Rodriguez; http://chwnetwork.org/. Rochester - Rochester Outreach Workers Association (ROWA), Latisha Williams, Chair, 585-274-8490.
Oregon Community Health Workers Association, 9000 N. Lombard Street--2nd Floor, Portland, OR 97203, (503) 988-3366x28686, Teresa Ríos, email@example.com, or Veronica Lopez Ericksen, firstname.lastname@example.org.
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Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities: A Critical Role for CHWs
The persistent problem of racial and ethnic disparities in health continues to pose a challenge to health policy makers and providers alike. Eliminating these disparities is an eminent goal of Healthy People 2010. Recognizing this, among other initiatives, Congress legislated that the Secretary of the Department of Health and Human Services evaluate best practices to reduce disparities in cancer prevention and treatment, and to implement and evaluate Demonstration projects for targeted racial and ethnic minorities (Section 122 of the December 2000 BIPA). Congress legislated $25 million to improve the clinical outcomes, satisfaction with care, quality of life, and use of Medicare services among black, Latino, Asian American/Pacific Islander, and American Indian/Alaskan Native beneficiaries in rural and urban locations.
Consequently, the Centers for Medicare and Medicaid Services (CMS) contracted with the Schneider Institute for Health Policy (SIHP) at the Heller School for Social Policy and Management, Brandeis University to provide an Evidence Report to guide the planning of these Demonstrations. SIHP researchers conducted a comprehensive review and synthesis of the literature as well as best practices, current programs and innovations that promoted prevention interventions among the target populations. Recognizing that promising interventions may not be represented in the literature, SIHP researchers conducted a thorough search for community programs by using a snowball approach incorporating outreach to a wide variety of health organizations, foundations, funders, Government agencies, academic centers, and minority organizations, to identify and assess such interventions.
A major finding that emerged from the work of a large team of researchers at SIHP lead by Professors Capitman and Bhalotra was that Community Health Workers (CHWs) were a key component of many interventions. CHWs are known by different names in different communities (lay health workers, promotores, etc.), but what they have in common is that they are "of the community and from the community." SIHP researchers observed that the trust and respect CHWs get from their communities helps them to bridge the gap between health care establishments and their own communities. Critical to their success was their deep understanding of cultural sub-systems, which allowed CHWs to tailor and customize services in a more meaningful manner. SIHP researchers concluded that these health care facilitators would be effective in addressing cancer and health disparities especially if they could also have access to operational enhancements in the system. They could be effective in helping to deliver tailored health promotion and disease prevention interventions to reduce lifestyle risk factors and to access primary health care services through a usual source of care. They could assist in accessing Medicare services and benefits and the delivery of community-centered, culturally sensitive interventions. CHWs could be the links that promoted adherence to screening guidelines, facilitated diagnostic work-ups, and ensured that treatment protocols were followed.
As stated by Nemcek and Sabatier (2003), "barriers resulting from health beliefs, health values, and strength of the therapeutic alliance can be minimized with culturally competent care supported by using community health workers." In their excellent review of the CHW concept, they show the ways that health disparities can be reduced through the use of CHWs. Currently, CMS is preparing to solicit Demonstration sites to apply to participate in trials of interventions based on recommendations in SIHP’s Evidence Report. It is anticipated that these sites will utilize the services of CHWs to implement interventions to reduce disparities. Results are to be reported to Congress two years after implementation. These results will be widely disseminated by CMS in order to showcase effective interventions. This is an opportunity for the role of CHWs to be recognized in reducing disparities and promoting health, by delivering community-based, community-appropriate, and community-implemented care that empowers community members to improve their health.
Sarita Bhalotra, MD, PhD
(Bhalotra is a faculty member and researcher at the Heller School for Social Policy and Management, Brandeis University)
An announcement of the Demonstration can be found at:
The full Evidence report produced by SIHP can be found at:
Nemcek AM, Sabatier R, “State of Evaluation: Community Health Workers” Public Health Nursing Vol 20 No 4 pp 260-270, July-August 2003.
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APHA Needs Your E-mail Address
APHA e-mails members when their Section or SPIG newsletter is online. If you have not been receiving any notification, we may have an incorrect e-mail address for you. If you are receiving copies of Section or SPIG newsletters in the mail or by fax, APHA does not have your e-mail address.
If we have your correct e-mail address, we are able to send you newsletter notification that provides faster, more current information. The mailed versions of the newsletters face a delay of several weeks for the newsletters to be photocopied, folded, stuffed in envelopes, labeled and processed through the U.S. Postal System.
Watch for the next CHW SPIG Newsletter in Winter 2005!
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APHA 2004 Community Health Worker SPIG Executive Board
New England HIV Education Consortium
Massachusetts Community Health Worker Network
23 Miner Street
Boston, MA 02215
Chair Elect and Member Retention
Community Health Outreach
Health Plus PHSP, Inc.
195 Montague Street
Brooklyn, NY 11201
Center for Sustainable Health Outreach
University of Southern Mississippi
Southern Station Box 10015
Hattiesburg, MS 39406-0015
Policy Committee Chair and
Governing Council Representative
Lisa Renee Siciliano, LSWA
Massachusetts Public Health Association and
Massachusetts Community Health Worker Network
4 Lancaster Terrace
Worcester, MA 01609
Program Planner 2004
Community Health Worker Network of NYC
452 51st St., Apt. 1
Brooklyn, NY 11220
Liaison to Other APHA Sections, SPIGs and Caucuses
Migrant Health Promotion
224 W. Michigan Ave.
Saline, MI 48176
Fax: (734) 944-1405
Centers for Disease Control and Prevention (CDC)
4770 Buford Hwy NE MS K47
Atlanta, GA 30341-3717
Massachusetts Department of Public Health
250 Washington Street, 5th floor
Boston, MA 02108
Fax: (617) 624-6062
(410) 522-6500 ext. 256
Immediate Past Chair
Community Capacitation Center
Multnomah County Health Department
(503) 988-3366 Ext. 28686
Fax: (503) 988-6923
Cc e-mail to: Noel Wiggins:
Berkeley Health Department
1767 Alcatraz Avenue
Berkeley, CA 94703
Immediate Past Governing Council
June Grube Robinson
724 Hoyt Ave.
Everett, WA 98201
2250 East 8th Street
Tucson, AZ 85719
(520) 882 2105 x2
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