ASTHO supports community health workers (CHWs) and champions the valuable role they play in public health. ASTHO provides state and territorial health agencies with resources on how to integrate CHWs in their public health practice, as well as build an infrastructure for CHW workforce development, such as exploring financing options and certification.
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The Role of State and Territorial Health Agencies in Supporting and Hiring Community Health Workers
This ASTHO-authored article in the Journal of Public Health Management and Practice explores how states continue make meaningful inroads in developing certification programs that match the needs of public health, the communities they serve, and the community health workers providing services.
Opportunities for Public Health Agencies to Advance Sustainable Financing of Community Health Worker Programs
This report details how health officials can play key roles as funders, administrators, and policy design champions to advance sustainable financing of community health worker services.
Community Health Worker Certification by Jurisdiction
States and territories continue to make meaningful inroads in developing certification programs that match the needs of public health, the communities they serve, and the community health workers providing services.
Hiring Practices That Support State Integration of Community Health Workers
As state and territorial health agencies look for ways to integrate community health workers into their programs and services, states must work in partnership with them to determine the best course of action.
Community Health Workers: Evidence of Their Effectiveness (PDF)
This document summarizes research studies that demonstrate the effectiveness of community health workers across multiple settings and health issues.
Changes to 2024 Medicare Physician Fee Schedule for CHI Services (PDF)
This quick reference guide covers Medicare physician fee schedule changes for Community Health Integration services.
Latest CHW Resources

Supporting Community Health Workers in Territories and Freely Associated States
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Best Practices to Leverage Partnerships to Support Health Equity: An Implementation Cheat Sheet
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Opportunities for Public Health Agencies to Advance Sustainable Financing of Community Health Worker Programs
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