Capacity Building

Health Education  Content Standards or California Public Schools Kindergarten Through Grade Twelve (2009 pdf 71 pgs)


APHA Resources for more information on best practices in CHW Education y Capacitación 

The appearance of external hyperlinks does not constitute endorsement by the CHW Section, or guarantee the accuracy, relevance, timeliness or completeness of information contained on a linked website.


ASTHO Webinar

Certification and Licensure
March 3, 2016

This interactive call provided an overview of state legislative activity related to certification and training of CHWs, described the Community Health Worker Core Consensus (C3) Project, and discussed the pros and cons to certification through a facilitated panel discussion with three CHW experts.


Who make great Community Health Workers?

  • People who have similar lived experience to the people they are serving
  • Individuals with compassion, wisdom and a desire to serve
  • People who love to engage with other people
  • People with solid ethical values
  • The natural, trusted leader or “go to person” in that community
  • Patient experts

What do Community Health Workers need to Know?

  • Intimate knowledge of the culture and language of the group they are serving
  • Communication skills: verbal, non verbal and written
  • Advocacy and outreach skills
  • Team building and collaboration skills
  • Motivational Interviewing and behavior change strategies
  • How to identify resources available in their community and how to access them
  • Coordination, documentation and reporting skills
  • Scope of practice: ethical and legal requirements of being a Community Health Worker

When do Community Health Workers learn?

“There is no end to education. It is not that you read a book, pass an examination, and finish with education. The whole of life, from the moment you are born to the moment you die, is a process of learning.” – Jiddu Krishnamurti  ( From a SRJC CHW Alumni’s facebook page)

  • Life long learners
  • Ongoing personal life experience
  • Collaborative learning within the therapeutic relationship
  • Interactive peer support learning groups
  • Community based trainings/workshops/conferences
  • On the Job Training

Where is the best place to learn how to be a  Community Health Worker?

  • On the streets and in the frontline trenches of life
  • In  the community
  • On the job training
  • Apprenticeship
  • Community College
  • Internship
  • University
  • Conferences
  • Workshops
  • Online

How do Community Health Workers best learn the skills they need to be effective ?


  • Popular Education
  • A deep desire to serve our community drives our desire to learn new skills
  • Being taught in our home language
  • Active participatory learning
  • Peer to peer cohorts
  • Lived experience


Wiggins, N. (2011). Critical Pedagogy and Popular Education: Towards a Unity of Theory and Practice. Studies in the Education of Adults, 43, 34-49.
Wiggins, N. (2011). Popular Education for Health Promotion and Community Empowerment: A Review of the Literature. Health Promotion International. doi:10.1093/heapro/dar046.


Leveraging Community Health Workers within California’s State Innovation Model: Background, Options and Considerations Prepared by Anna C. Davis, MPH; Prepared for the California Health and Human Services Agency; Funded by Blue Shield of California Foundation, ( July 2013; 20 page; 36 references)

Taking Innovations to scale: Community Health Workers, Promotores, and the Triple Aim- A Statewide Assessment of the Roles and Contributions of California’s Community Health Workers  Prepared by the California Health Workforce Alliance; Senior Investigator Kevin Barnett, DrPH,MCP, Public Health Institute ( December 2013, 78 pages; 60 References)


Am J Public Health. 2013 Jul;103(7):e74-82. doi: 10.2105/AJPH.2012.301102. Epub 2013 May 16.



We sought to provide a systematic review of the determinants of success in scaling up and sustaining community health worker (CHW) programs in low- and middle-income countries (LMICs).


We searched 11 electronic databases for academic literature published through December 2010 (n = 603 articles). Two independent reviewers applied exclusion criteria to identify articles that provided empirical evidence about the scale-up or sustainability of CHW programs in LMICs, then extracted data from each article by using a standardized form. We analyzed the resulting data for determinants and themes through iterated categorization.


The final sample of articles (n = 19) present data on CHW programs in 16 countries. We identified 23 enabling factors and 15 barriers to scale-up and sustainability, which were grouped into 3 thematic categories: program design and management, community fit, and integration with the broader environment.


Scaling up and sustaining CHW programs in LMICs requires:

  • effective program design and management
  • including adequate training,
  • supervision,
  • motivation,
  •  funding
  • acceptability of the program to the communities served
  • securing support for the program from political leaders and other health care providers.

Text Book: Foundations for Community Health Workers

Contact Authors directly at City College of San Francisco: Alma Avila email:  or  Tim Bertold email:

Product Details

Foundations for Community Health Workers (J-B Public Health/Health Services Text) by Tim Berthold, Alma Avila and Jennifer Miller (Aug 31, 2009)





Vision Y Compromiso- Promotor Institute

Teaching language; Spanish/English; Multi-disciplinary training curricula for and by Promotores; – See more at:

Contact:  Maria Lemus, Executive Director Phone: (213) 613-0630

We believe in the improvement of access and provision of quality bilingual and bicultural health care to Latinos through self-empowerment, educational programs, health advocacy outreach, and development of public policy specifically aimed at Latinos and their families and as critical players in the implementation and workforce development in these areas. – See more at:


City College of San Francisco:Community Health Worker Certificate

Community College;Teaching Language: English; 17 Units

The three connected certificates offered by the Community Health Worker Certificate Program are: The Community Health Worker, Youth Worker, and Post Prison Health Worker Certificates. Each certificate has a different community focus, but share core public health foundation principles, competencies and a social justice perspective.

Contact:  Alma Avila:Program Director

Telephone: (415) 452-7481
Home Page:


Santa Rosa Junior College: Community Health Worker Certificate

Community College;Teaching language : English; 22 Units; Part time; Three semesters; Units can be used towards an Associate of Science degree

Contact: Janet Fisk,  Program Coordinator 
Phone: (707) 527-4836




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