Where They Work

CHWs work in all geographic settings, including rural, urban and metropolitan areas, border regions (colonias), and the Native American nations.  Although CHW roles vary depending on locale and cultural setting, they are most often found working in underprivileged marginalized communities where people may have limited resources, lack access to quality health care, lack the means to pay for health care, do not speak English fluently, or have cultural beliefs, values and behaviors different from those of the dominant western health care system. In these communities, CHWs play an integral role in helping systems become more culturally appropriate and relevant to the people they are to serve.  CHWs typically have deep roots or shared life experiences in the communities they serve. They share similar values, ethnic background and socio-economic status, and they often speak the same language as the people they serve.