Community Health Advocate Program
Find out more
- Who are Community Health Workers (CHWs)?
- CHC Community Health Advocate Program
- Community Health Worker Training Programs
- Ohio Community Health Worker Association
- Links to Related Web Sites
Community health workers are lay members of the community, either paid or volunteer, who work with the local health care system in rural and urban communities. They usually share the same cultural and ethnic background of the community members they serve. CHWs provide an essential link between the community and the health and human services system. Their activities are numerous and varied, depending on the need and the program in which they work.
Community Health Workers:
- Are from the communities they serve
- Are most often female
- Receive training in principles of health advocacy and referral
- Are aware of current resources available to the community
Community Health Workers provide the following services to the community:
- Culturally appropriate health care information and education
- Intervention for health issues, such as women’s health, immunizations or pregnancy/prenatal care
- Interventions for specific diseases, such as diabetes, HIV/AIDS or cardiovascular disease
- Direct services, such as health screenings
- Assistance and advocacy for underserved individuals to receive appropriate services (navigation)
- Promotion of community participation in health promotion/disease prevention activities
- Inform providers about cultural health beliefs and practices of clients served
- Identify community needs for which there are not available resources
- Informal counseling and referral
- Translation and interpretation services
The Community Health Advocate (CHA) Program, an integral component of the Center for Healthy Communities from its beginning, evolved out of a request from community members who said they wanted someone who “looks like me and talks like me” to help reduce barriers to accessing health and human services in the community.
Since 1993, the Center for Healthy Communities CHA Program has used CHAs to assist underserved community members to access services that enhance broad determinates of health. CHAs strive to assist individuals/families with health and social service problems by providing information on community resources, necessary support and follow up. They are sensitive to social, economic, and cultural community issues.
Some of the ways in which CHAs have helped community members are as follows:
- Since the expansion of Ohio’s Healthy Start/Healthy Families initiative in 2000, the Community Health Advocates have done outreach to inform clients about this program and to assist them in applying for the program.
- The Kinship Caregiver Coalition uses Community Health Advocates known as Kinship Navigators to assist grandparents and other relatives who are raising relative children to locate and access services that can help them.
- In the first part of 2008, a CHA worked with seniors who were at risk of losing deemed eligibility for the Medicare Low Income Subsidy (LIS) program. The advocate assisted some of them to reapply for LIS and helped others to apply for the first time.
- At an area hospital, a CHA assisted patients to enroll in Medicaid, significantly reducing uncompensated care costs. In addition, the advocate linked patients to resources including food, shelter, job training, support groups and other services.
Past CHC programs and projects where CHAs have played an essential role include:
- HealthLink Miami Valley - HIEx™
- Alliance for Research in Community Health
- Reach Out of Montgomery County
- American Heart Association
- Kellogg Project
- HUD Lead Hazard Control
- Department of Education
- Dayton Community Outreach Program
- Susan G. Komen Breast Cancer Screening
- Health Power
In addition to client navigation and referral, Community Health Advocate Program provides outreach services:
- Providing resources at health fairs
- Speaking to interested groups about the role of community health advocates and the Community Health Advocate Program
- Helping other organizations establish community health worker programs
For more information about the CHC Community Health Advocate Program, contact Kimberly Conner, Community Health Advocate Outreach Program Coordinator, at email@example.com or (937) 775-8254.
In order to ensure consistency in CHA preparation and training, the Center for Healthy Communities developed a six-week course, Introduction to Community Health Advocacy. The course introduces students to community health concepts, resources, and skills related to the role and responsibilities of a Community Health Advocate, both locally and nationally. Special emphasis is placed on factors to consider when working in community-based settings; characteristics of health models and plans; impact of culture and socioeconomic status on the health of the individual; communication; barriers to health care services; anticipated health care needs across the life span; and related community resources.
Course objectives are:
- Describe the roles, responsibilities, and essential skills of a community health advocate
- Demonstrate knowledge of barriers to primary health care
- Identify specific community resources related to identified client needs and the process to obtain these services
- Implement appropriate personal safety practices during community outreach activities
- Discuss primary health care and specific behaviors related to health promotion and disease prevention
- Describe in general terms the health payment plans and resources in their local communities
- Discuss basic effective communication techniques and barriers to effective communication
- Demonstrate accurate completion of appropriate documentation forms
- Demonstrate knowledge of the role cultural beliefs have on health practices and use of health and social services
- Demonstrate general awareness of health care needs for individuals across the life span and appropriate health and social service resources
- Download a flier (PDF) about the next course offering
- View the Community Health Advocate Course curriculum
Working in partnership with the Ohio Department of Health, the Center for Healthy Communities developed a course that could be offered in community colleges across the state to prepare Community Health Workers/Advocates to provide cardiovascular health education and help link community members to needed resources.
- View the Ohio Department of Health Community Health Worker Curriculum
- Centers for Disease Control and Prevention (CDC) – The Community Health Worker’s Sourcebook, “A Training Manual for Preventing Heart Disease and Stroke” (PDF)
- American Public Health Association Advocacy and Policy, “Support for Community Health Workers to Increase Health Access and to Reduce Health Inequities, 11/10/2009
- Center for Sustainable Health Outreach
- National Center for Chronic Disease Prevention and Health Promotion, “Addressing Chronic Disease through Community Health Workers: A Policy and Systems-Level Approach,” a policy brief on community health workers (PDF)
- Ohio Community Health Access Project (CHAP)
- Ohio Community Health Workers Association (OCHWA)
- Ohio Community Health Worker Training Programs
- Patient Navigator Act of 2005
- Promotoras Program, Texas
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