Status of the CHW Occupation (Cont.)

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CHWs at a conference table in a meeting.
Much work remains to be done to clarify boundaries between CHWs and other professions.

The current status of the CHW occupation is as follows:

  • CHW employment is marginal or “casual” in many cases
  • Little thought is given to:
    • Systematic job design
    • Standardized training
    • Career advancement
  • There are no common standards or definitions across programs
  • Boundaries with other occupations often unclear