Community Health Workers Programs Improve Health Outcomes But Need Sustainable Funding

Lawndale News Chicago's Bilingual Newspaper - Health

Sinai Urban Health Institute (SUHI) and the Health and Medicine Policy Research Group (HMPRG) have released results from a first-ever survey of employers working with Community Health Workers, aimed at mapping the landscape for CHWs across the region. The Cook County Common Indicator Employer Survey showed strong employment of CHWs in the wake of the pandemic, but that Cook County faces some tough decisions as the public health emergency ends. The Cook County results follow up on the first Community Health Worker Common Indicator Employer Survey for all of Illinois that was conducted by SUHI and HMPRG along with the Illinois Department of Public Health, the Illinois Public Health Association, the Illinois CHW Association. That survey was open to all Illinois-based CHW programs. Two hundred ninety-eight organizations received invitations to participate and 120 responded. SUHI and HMPRG received funding from the Lloyd A. Fry Foundation to do the Cook County specific analysis of those results. Sixty-one organizations that serve Cook County took the survey and included community-based organizations, hospitals and health systems, federally qualified health centers, local health departments, behavioral health organizations and school-based health centers. Sixty-four percent of the respondents serving Cook County said none of their funding comes from a sustainable source. Instead, many CHW programs are supported with funding sources considered unsustainable such as short-term and private grants. The results also showed that while wages for CHWs varied widely, Illinois matched the national averages of $19.67/hour or $35,754/year, while Cook County exceeded them.  There were also significant variabilities in benefits offered for full-time versus part-time workers. For example, only 20 percent of part-time CHWs received health insurance as opposed to 75 percent of full-timers.

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