LIVING HEALTHY: Community health workers are the unsung heroes of Mississippi's public health

By Guest Columnist Stephanie Duguid

As part of the Mississippi Health Ambassadors Initiative, Kizmet Cleveland, MA, CHW of the Mississippi Community Health Workers Association, shared information about community health workers, their historical perspective, benefits, and impacts, as well as ways to advance the role.  

Community health workers (CHWs) play a pivotal role in Mississippi's healthcare landscape. As frontline public health workers, CHWs are trusted members of their communities, leveraging close relationships to bridge gaps between health services and the populations they serve. Their efforts enhance access to care, improve service delivery quality and foster cultural competence.

The concept of CHWs is not new; their roots can be traced back to various community health initiatives aimed at improving public health outcomes. Traditionally, they have been known by different titles, such as community health advisors, patient navigators, or outreach specialists, reflecting their diverse roles and the communities they serve.

CHWs engage in a wide range of activities, including outreach, community education, informal counseling, social support and advocacy. These activities are designed to build individual and community capacity, increase health knowledge and promote self-sufficiency.

The impact of CHWs in Mississippi is profound. Studies have shown that CHWs contribute to reduced emergency department visits, fewer hospital readmissions and decreased nursing home placements. They serve as a crucial link between healthcare providers and community members, ensuring that individuals receive timely and appropriate care.

Without CHWs, community members might miss regular appointments, face unmanaged chronic conditions or lack access to necessary support services like food assistance and transportation. Conversely, with the support of CHWs, individuals are more likely to adhere to treatment plans, attend regular check-ups and receive comprehensive support for mental health and substance use issues. This holistic approach leads to better health outcomes and improved quality of life.

On June 30, 2021, twelve CHWs and allies established the Mississippi Community Health Workers Association (MSCHWA), a 501(c)(3) non-profit organization. MSCHWA aims to create networks at local, regional, and statewide levels, providing a platform for CHWs to share resources, meet colleagues, and promote professional development.

To further advance the role of CHWs in Mississippi, the organization identified that there is a need to advocate for policies that support and expand the role of CHWs within the healthcare system. Additionally, a scope of practice for CHWs is needed to establish clear boundaries between the roles of CHWs and other healthcare professionals, and standards for preventive care need to be developed to ensure that all health plans include preventive care benefits provided by CHWs. Finally, a state certification program for CHWs needs to be developed to standardize training and practice.

The Mississippi State Department of Health's Office of Community Health Workers has already made significant strides by aligning its education curriculum with the CHW Core Consensus Project’s recommended training activities, focusing on core competencies and roles.

The role of CHWs is crucial in building healthier communities across Mississippi. For more information or to join the community health worker registry, visit CHCAMS.org.

EDITOR’S NOTE: Stephanie Duguid is the owner of Do Good ProHealth (CPR classes) and Do Good Leadership (motivational speaking, and leadership and success coaching).