Major Issues within the Field

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CHWs teaching a class, and talking to community members.
Before embarking on policy initiatives, we need to become familiar with the culture and complexities of the CHW workforce.

Major issues within the CHW field include:

  • Boundaries with other occupations
  • Preserving community trust and credibility
    • Community goals vs. the employer’s goals
    • Professionalization and credentialing
    • “Community membership” as essential qualification; what is a “peer?”
  • Potential barriers to entry into the profession
  • Is CHW employment a “pathway” or a career?
  • Self-determination