The Evolution, Expansion, and Effectiveness of Community Health Workers

This paper describes the current state of knowledge about how and where CHWs can contribute effectively, where barriers inhibit efficient deployment of CHWs, and what business models could support change. Observations come from literature reviews, key stakeholder interviews, case studies of CHW initiatives, and a convening of practitioners, employers, advocates, policymakers, and other experts. This paper looks back at the development of CHWs in the United States and their roles and accomplishments to date.