Predictors and a framework for fostering community advocacy as a community health worker core function to eliminate health disparities

Sabo S, Ingram M, Reinschmidt KM, Schachter K, Jacobs L, Guernsey de Zapien J, Robinson L, Carvajal S

Using a mixed-method, participatory research approach, the authors investigated factors related to community health worker (CHW) community advocacy that affect social determinants of health. Methods. They used cross-sectional survey data for 371 CHWs to assess demographics, training, work environment, and leadership qualities on civic, political, and organizational advocacy. We present advocacy stories to further articulate CHW activities. The data reported are from the recently completed National Community Health Workers Advocacy Study.

Results

CHWs are involved in advocacy that is community-focused, although advocacy differs by intrinsic leadership, experience, training, and work environment. We propose a framework to conceptualize, support, and evaluate CHW advocacy and the iterative processes they engage in. These processes create opportunities for community voice and action to affect social and structural conditions that are known to have wide-ranging health effects on communities.

Conclusions

The framework presented may have utility for CHWs, their training programs, and their employers as well as funders and policymakers aiming to promote health equity.

Am J Public Health; July 2013 [Full Abstract]