ArticleFrontiers in public health2021
Community Health Representative Workforce: Meeting the Moment in American Indian Health Equity.
Article in Frontiers in public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 12 citations in OpenAlex.
- Behavioral and Mental Wellbeing in Indigenous Communities: A Protocol for Developing an Educational Program for Nurses, Community and the Health Care Workforce Serving Indigenous Communities.Nursing reports (Pavia, Italy) · 2026Article
- Trends and disparities in obesity and atherosclerotic cardiovascular disease mortality in a 25-year retrospective analysis.Scientific reports · 2025Article
- Self-Determination in Action: A Scoping Review on Oral Health Training for Indigenous Health Workers Globally.Community dentistry and oral epidemiology · 2025Article
- The role of community health workers in enhancing home and community-based services in American Indian communities.PEC innovation · 2025Article
- Structural Supports and Challenges for Community Health Worker Models: Lessons from the COVID-19 Response in Orange County, California.SSM. Qualitative research in health · 2025Article
- Risk factors associated with loneliness among mexican-origin adults in southern Arizona.BMC public health · 2024Article
- Deployment of Point-of-Care Echocardiography to Improve Cardiac Diagnostic Access Among American Indians.Journal of the American Heart Association · 2024Article
- Infectious diseases in Indigenous populations in North America: learning from the past to create a more equitable future.The Lancet. Infectious diseases · 2023Review
- Community Health Representatives as Trusted Sources for Increasing Representation of American Indian Communities in Clinical Research.International journal of environmental research and public health · 2023Article
- Community Health Representative Workforce: Integration across systems and teams to address the social determinants of indigenous health and wellbeing.Frontiers in public health · 2023Article
- Community Engagement Alliance (CEAL) Against COVID-19 Disparities: Academic-community partnership to support workforce capacity building among Arizona community health workers.Frontiers in public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In 2018, the Community Health Representative (CHR) workforce celebrated their 50th year and serve as the oldest and only federally funded Community Health Worker (CHW) workforce in the United States. CHRs are a highly trained, well-established standardized workforce serving the medical and social needs of American Indian communities. Nationally, the CHR workforce consists of ~1,700 CHRs, representing 264 Tribes. Of the 22 Tribes of Arizona, 19 Tribes operate a CHR Program and employ ~250 CHRs, equivalent to ~30% of the total CHW workforce in the state. Since 2015, Tribal CHR Programs of Arizona have come together for annual CHR Policy Summits to dialogue and plan for the unique issues and opportunities facing CHR workforce sustainability and advancement. Overtime, the Policy Summits have resulted in the Arizona CHR Workforce Movement, which advocates for inclusion of CHRs in state and national level dialogue regarding workforce standardization, certification, training, supervision, and financing. This community case study describes the impetus, collaborative process, and selected results of a 2019-2020 multi-phase CHR workforce assessment. Specifically, we highlight CHR core roles and competencies, contributions to the social determinant of health and well-being and the level to which CHRs are integrated within systems and teams. We offer recommendations for strengthening the workforce, increasing awareness of CHR roles and competencies, integrating CHRs within teams and systems, and mechanism for sustainability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.