Roles and Scope of Work
- Bridging cultural mediation between communities and the health care system
- Providing culturally appropriate and accessible health education and information, often by using popular education methods
- Ensuring that people get the services they need
- Providing informal counseling/education and social support
- Advocating for individuals and communities
- Providing direct services (such as basic first aid) and administering health screening tests
- Building individual and community capacity
The essential scope of work for a CHW is primary healthcare prevention and control of chronic disease among underserved populations.
|Level of Prevention||Aim||Phase of Disease||Target||Intervention Examples|
|Primary||Widespread changes that reduce the average risk in the whole population.
Reduction of particular exposures among identified higher risk groups or individuals
|Specific causal factors associated with the onset of disease.
Specific and non-specific factors associated with protection against disease
|Total population, selected groups and healthy individuals||Measures that eliminate or reduce the causes or determinants of departures from good health, control exposure to risk, and promote factors that are protective of health:
|Adapted from Beaglehole R, Bonita R, Kjellstrom T (1993). Basic Epidemiology. Geneva, World Health Organization. Brownson, R, Remington, P & Davis J (Eds) (1998). Chronic Disease Epidemiology and control, (2nd Edition) American Public Health Association, Washington DC|
In the prevention and control of chronic disease, primary prevention for CHWs may look like the following:
Prevention and control of chronic disease
- Support to multidisciplinary health teams
- Outreach to individuals in the community setting
- Educating the patient and their families on the importance of lifestyle change; adherence to their medication regimes and recommended treatments
- Find creative ways to increase compliance with medications
- Help patients navigate the healthcare system; enrollment eligibility, appointments, referrals; transportation, promoting continuity of care
- Providing social support by listening to concerns of the patient and their family
- Helping with problem solving strategies
- Assessment of how well a self- management plan is helping the patient meet their own health goals
- Assisting clients in obtaining home health devices to support self-management
- Supporting individualized goal setting using motivational interviewing.