Abstract
Despite progress in documenting the outcomes of Community Health Worker interventions, the lack of standardized measures to assess CHW practice has made it difficult for programs to conduct reliable evaluations, and impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. In addition, while CHWs have sometimes been involved as data collectors, they have seldom been engaged as full partners in all stages of evaluation and research. This manuscript details the current work being done by the CI Project, demonstrating how CHWs are able to contribute to the integrity, sustainability, and viability of CHW programs through the collaborative development and adoption of a set of common process and outcome constructs and indicators for CHW practice and CHW program implementation.
Highlights
For our 2019–2020 work, we focused on policies related to Community Health Worker (CHW) workforce development
While some constructs had not been measured in CHW programs, they had been measured in other settings
CONCEPTUAL OR METHODOLOGICAL STRENGTHS AND CONSTRAINTS. This phase of the Common Indicators (CI) Project had several strengths, including a well-developed network of 180+ individuals who possess a variety of skills, perspectives, and knowledge based on lived experience and are committed to improving measurement in CHW programs; and the Leadership Team’s dedication to and capacity in using popular education methodology
Summary
CDC and NACDD colleagues helped to develop criteria to identify and select key stakeholders who would provide feedback for the content and operationalization of the indicators They participated actively in bi-monthly Advisory Group meetings and the 2020 Summit (see below) and met with the Leadership Team to discuss the dissemination plan. Findings from all methods were triangulated to produce results and identify lessons learned Both the findings of this project and popular education suggest that equitable engagement of marginalized individuals and communities including CHWs depends on thoughtful and diligent work before, during and after engagement opportunities. The processes used and how they were influenced by popular education are described in some detail
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