Community Health Worker-Led Community Clinical on the U.S. / Mexico Border: Lessons Learned

Abby M. Lohr, Sophie S. Alves, Kiera Coulter, Floribella Redondo-Martinez, Gloria Coronado, Cassalyn David, Cynthia Espinoza, Maia Ingram, Scott C. Carvajal, Ada Wilkinson-Lee

Research output: Contribution to journalArticlepeer-review


Background: Community–clinical linkages (CCLs) connect public health organizations and health care providers to better support patients. Community health workers (CHWs), representatives from priority populations with special connections to their community, can lead CCLs. Objectives: Our objective was to learn about how to conduct a CHW-led CCL from the perspectives of those implementing the intervention. Methods: We conducted focus groups with CHWs and their supervisors and regularly consulted community partners while coding and analyzing data. Results: We learned that CHWs thrive when supported by peers, supervisors, institutions, and researchers. Supervisors— who are new to the CHW role—should consider seeking training in CHW professional development and performance evaluation. Focus group participants agreed that by balancing the strengths and weaknesses of their organization, CHW-led CCLs benefit patients because the collaboration helps them to better manage their health. Conclusions: Future CHW-led CCL practitioners should consider how to best institutionally support CHWs to maximize benefits for patients.

Original languageEnglish (US)
Pages (from-to)93-103
Number of pages11
JournalProgress in Community Health Partnerships: Research, Education, and Action
Issue number1
StatePublished - Mar 1 2022


  • Chronic disease self-management
  • Community health worker
  • Community–clinical linkage

ASJC Scopus subject areas

  • Medicine(all)


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