The Promotores(as) and Community Health Worker (P/CHW) model has been highlighted as an effective means of promoting healthy communities and addressing health disparities among at-risk groups not only in the United States but globally. In particular, the integration of P/CHWs into local government programs has been considered as a viable means for advancing community resilience, preventive care and wellness.
P/CHWs are trusted members of the community who can be trained on skills to better guide vulnerable populations to access to care and disease management, thereby improving health outcomes overall. Many of these P/CHWs have experienced system and cultural barriers and suffer from many of the ill effects of social determinants of health, yet they will passionately share important information about local resources, culturally and linguistically proficient health education and navigate those needing follow up care.
People who are low-income, elderly, racial/ethnic minorities, women and those residing in rural areas endure serious challenges when diagnosed with chronic diseases because of lack of information and means of communication. P/CHWs are routinely needed to assist communities and organizations with outreach activities (education to screening), and in-reach (navigation from diagnosis through treatment). These individuals have not been trained on issues related to social determinants of health, cultural competence and health literacy.