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The increasingly diverse population of health consumers in the United States requires healthcare systems, organizations and communities to look to new delivery models to improve healthcare access and outcomes. One example of an ancillary health service program that has been used in multiple communities is the Lay or Community Health Worker program, which delivers culturally and linguistically competent care to marginalized populations across the United States, providing increased health access, education and promotion and advocacy services. One of the best known Community Health Worker programs in the United States is the Indian Health Services Community Health Representative (CHR) program. The CHRs provide paraprofessional health care, health education and advocacy services to often marginalized tribal populations. This paper will examine the historical and contemporary structure of community health worker programs with particular focus on the Indian Health Service Community Health Representative program as a model of care for sub-Saharan refugee populations residing in the greater Manchester, New Hampshire area |
