{"id":8829,"date":"2023-12-14T11:09:07","date_gmt":"2023-12-14T18:09:07","guid":{"rendered":"https:\/\/nau.edu\/center-health-equity-research\/?page_id=8829"},"modified":"2025-06-16T13:15:33","modified_gmt":"2025-06-16T20:15:33","slug":"community-health-workers-emergency-response-toolkit","status":"publish","type":"page","link":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/community-health-workers\/community-health-workers-emergency-response-toolkit\/","title":{"rendered":"Community health representative (CHR) Integration Tool No. 1"},"content":{"rendered":"<div class=\"nau-block nau-block-left-nav-top-bound\">\n    \t<button id=\"left-nav-toggle-btn\" onclick=\"toggleNav();\">\n\t\tON THIS PAGE \n\t\t<i id=\"chevron-icon\" class=\"fas fa-solid fa-chevron-down\"><\/i>\n\t<\/button>\n\t<div id=\"left-nav-menu-track\">\n\t\t<div id=\"left-nav-wrapper\">\n\t\t\t<div class=\"rfi-above-anchor-tags\">\n\t\t\t\t<div class=\"ri-container\">\n\t\t\t\t\t<a href=\"https:\/\/nau.edu\/admissions\/request-information\/\" id=\"request-info\" class=\"btn bg-true-blue left-nav-menu-bottom-button display-mobile\">Request info&nbsp;&nbsp;<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div id=\"left-nav-menu\">\n\t\t\t\t<div class=\"menu-section menu-section-links\"><h6 class=\"hidden-mobile left-nav-list-header\">ON THIS PAGE<\/h6><ul class=\"left-nav-menu-list left-nav-automatic on-this-page\"><\/ul><div class=\"ri-container\"><a href=\"https:\/\/nau.edu\/admissions\/request-information\/\" id=\"request-info\" class=\"btn bg-true-blue left-nav-menu-bottom-button display-mobile\">Request info&nbsp;&nbsp;<\/a><\/div><\/div>\t\t\t\t\t\t\t\t<div class=\"menu-section backcolor\">\n\t\t\t\t\t<div class=\"header\">\n\t\t\t\t\t\tHOW CAN WE HELP?\t\t\t\t\t<\/div>\n\t\t\t\t\t<ul class=\"responsive-icons\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><a href=\"tel:928-523-9104\"><img src=\"https:\/\/legacy.nau.edu\/wp-content\/themes\/nau-marketing-2021\/img\/icon-phone.svg\" alt=\"Telephone:\"> 928-523-9104<\/a>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t<li><a href=\"mailto:CHER@nau.edu\"><img src=\"https:\/\/legacy.nau.edu\/wp-content\/themes\/nau-marketing-2021\/img\/icon-email.svg\" alt=\"Email:\"><span class=\"left-nav-email\"> CHER&#8203;@nau.edu <\/span><\/a><\/li>\n\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<section class=\"nau-block left-nav-section\"><header class=\"entry-header\"><div class=\"breadcrumb\"><ol class=\"breadcrumbs\"><li class=\"current\">Pages<\/li><\/ol><\/div><h1 class=\"entry-title text-left \">Community health representative (CHR) Integration Tool No. 1<\/h1><hr class=\"h1-hr  text-left \" role=\"none\"><\/header><!-- .entry-header --><\/section><!-- <section class=\"nau-block left-nav-section grid-md-12\">\n    <header class=\"entry-header\">\n        <h1 class=\"entry-title text-left \" tabindex=\"0\" id=\"h1-first\">Dummy H1<\/h1>\n        <hr class=\"h1-hr  text-left \" role=\"none\">\n    <\/header>\n<\/section> -->\n\n<section class=\"nau-block left-nav-section grid-md-12\">\n        <div class=\"page-content\">\n        \n\n<h2>Public health emergency preparedness and response<\/h2>\n\n\n\n<section  \n    class=\"nau-block nau-block-panels   \" \n    data-layout_mobile=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\"\n        data-layout_tablet=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\"\n        data-layout_desktop=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\"\n        data-layout_xl=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\">\n\n    <div class=\"background-wrapper\">\n        <div class=\"block-main-content\">\n            \n            \n            \n            \n            \n            <div class=\"panel-wrapper\">\n                \n                                \n                        <div class=\"panel bg-true-blue  panelTypePhotoText   \"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel--0\"\n                            id=\"panel--0\">\n\n                            \n                                                                    <picture>\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/DSC_9557-2000x1125.jpg\" media=\"(min-width: 1650px)\" \/><!-- xl -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/DSC_9557-2000x1125.jpg\" media=\"(min-width: 1100px)\" \/><!-- desktop -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/DSC_9557-1200x675.jpg\" media=\"(min-width: 768px)\" \/><!-- tablet -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/DSC_9557-800x450.jpg\" media=\"(min-width: 0px)\" \/><!-- mobile --><img src=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/DSC_9557.jpg\" alt=\"Nursing student in supply room holding backpack on one shoulder and a paper filled binder in the other arm.\"  \/>                                        <\/picture>\n                                        <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                \n                                                \n                                                \t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"text alt-link-caret\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p>This tool is intended for Tribal Emergency Management Coordinators and community health representative (CHR) Program leadership and teams as a best practice guide to ensure appropriate integration of CHRs into emergency preparedness and response efforts.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t                                            <\/div>\n                                            \n                                                                                    <\/div>\n                                    \n                                \n                                                        <\/div>\n                                                <\/div>\n\n                    <\/div>\n    <\/div>\n<\/section>\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container\">\n<h2>Emergency response<\/h2>\n\n\n\n<p class=\"is-style-default\">The COVID-19 pandemic demonstrated the need for all communities to prepare for public health emergencies, including infectious diseases, pandemics, and natural disasters. Community health workers play a critical role in emergency response efforts and teams, serving as a vital link between official response agencies and local populations.<\/p>\n\n\n\n<p class=\"is-style-default\">Tribally employed community health workers, called community health representatives (CHRs), are critical to comprehensive tribal emergency response plans and efforts. Their local expertise, trust-building capacity, and cultural awareness are invaluable to emergency managers\u2019 understanding of the social vulnerability characteristics of their communities and the assurance of equitable risk reduction for all community members.<\/p>\n<\/div><\/div>\n\n\n<section         class=\"nau-article-block-simple-color-text-photo bg-twilight-xxx-light  hasLink\">\n    \n\n    \n        <hr role=\"none\" class=\"hr-clearspace-20 d-none-md\">\n\n        <h3>FEMA designation as an ESF Annex<\/h3>                <p>The Federal Emergency Management Agency (FEMA) identifies community health representatives as part of the following Emergency Support Function (ESF) Annexes:<\/p>\n<p><a href=\"https:\/\/www.fema.gov\/sites\/default\/files\/2020-07\/fema_ESF_6_Mass-Care.pdf\">#6 Mass Care, Emergency Assistance, Housing, and Human Services<\/a><\/p>\n<p><a href=\"https:\/\/www.fema.gov\/sites\/default\/files\/2020-07\/fema_ESF_8_Public-Health-Medical.pdf\">#8 Public Health and Medical Services<\/a><\/p>\n\n                <a href=\"https:\/\/www.fema.gov\/emergency-managers\/national-preparedness\/frameworks\/response#esf\" target=\"_blank\" class=\"link link_padding\">FEMA Emergency Support Function Annexes<\/a>\n        \n\n<\/section>\n\n\n<h2 id=\"Keyroles\">Key roles <\/h2>\n\n\n\n<p class=\"is-style-default\"><strong>Risk communication<\/strong><\/p>\n\n\n\n<ul><li>They act as a critical link between the health system and the community to provide accurate and culturally competent messaging about response effort.<\/li><\/ul>\n\n\n\n<p class=\"is-style-default\"><strong>Identification and support<\/strong><\/p>\n\n\n\n<ul><li>They provide information and services needed to ensure that socially vulnerable populations, such as the elderly, the unhoused, and those with chronic illnesses get the help they need.<\/li><\/ul>\n\n\n\n<p class=\"is-style-default\"><strong>Health promotion and education<\/strong><\/p>\n\n\n\n<ul><li>They promote effective disease prevention and risk reduction strategies.<\/li><\/ul>\n\n\n\n<p class=\"is-style-default\"><strong>Data collection<\/strong><\/p>\n\n\n\n<ul><li>They gather health data as trusted members of their communities, to guide equitable response and recovery strategies.<\/li><\/ul>\n\n\n\n<p class=\"is-style-default\"><strong>Logistical support<\/strong><\/p>\n\n\n\n<ul><li>They assist in the organization and distribution of essential supplies, including vaccines, PPE, food, and water.<\/li><\/ul>\n\n\n\n<h2>COVID-19 <\/h2>\n\n\n\n<p>During the COVID-19 pandemic, CHRs were highly involved in supporting priority aims of the <a rel=\"noreferrer noopener\" href=\"https:\/\/www.ihs.gov\/sites\/coronavirus\/themes\/responsive2017\/display_objects\/documents\/IHS_COVID_100DayReview.pdf\" target=\"_blank\">Indian Health Service\u2019s Strategic Response(1)<\/a>.<\/p>\n\n\n\n<section  \n    class=\"nau-block nau-block-panels   \" \n    data-layout_mobile=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-1-1\"\n        data-layout_tablet=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-1-1\"\n        data-layout_desktop=\"groupLayout-Grid gutter_Default panelLayoutPhotoTextVertical  photoAspect-1-1\"\n        data-layout_xl=\"groupLayout-Grid gutter_Default panelLayoutPhotoTextVertical  photoAspect-1-1\">\n\n    <div class=\"background-wrapper\">\n        <div class=\"block-main-content\">\n            \n            \n            \n            \n            \n            <div class=\"panel-wrapper\">\n                \n                                \n                        <div class=\"panel bg-twilight-xxx-light  panelTypeText  noHover \"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel--0\"\n                            id=\"panel--0\">\n\n                            \n                                                                    <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                                                                <h3 class=\"h3-tab-index\">Prevent<\/h3>\n                                                \n                                                                                                    <div class=\"text\">\n                                                        <ul>\n<li>Organized and carry out effective public education campaigns<\/li>\n<li>Delivered food, medication, and other essential supplies to vulnerable residents<\/li>\n<li>Supported and coordinated vaccination deployment<\/li>\n<\/ul>\n                                                    <\/div>\n                                                \n                                                                                            <\/div>\n                                        <\/div>\n\n                                    \n                                \n                                                        <\/div>\n                    \n                        <div class=\"panel bg-true-blue  panelTypeText  noHover \"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel--1\"\n                            id=\"panel--1\">\n\n                            \n                                                                    <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                                                                <h3 class=\"h3-tab-index\">Detect<\/h3>\n                                                \n                                                                                                    <div class=\"text\">\n                                                        <ul>\n<li>Assisted with testing events and clinics<\/li>\n<li>Distributed home test kits<\/li>\n<li>Learned the signs and symptoms of disease<\/li>\n<li>Identified high-risk community members<\/li>\n<\/ul>\n                                                    <\/div>\n                                                \n                                                                                            <\/div>\n                                        <\/div>\n\n                                    \n                                \n                                                        <\/div>\n                    \n                        <div class=\"panel bg-gold  panelTypeText  noHover \"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel--2\"\n                            id=\"panel--2\">\n\n                            \n                                                                    <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                                                                <h3 class=\"h3-tab-index\">Recover<\/h3>\n                                                \n                                                                                                    <div class=\"text\">\n                                                        <ul>\n<li>Assisted with the coordination of health care services (medical supplies, prescriptions, staffing) to support tribal communities<\/li>\n<li>Shared best practices<\/li>\n<li>Supported individual and community resilience<\/li>\n<\/ul>\n                                                    <\/div>\n                                                \n                                                                                            <\/div>\n                                        <\/div>\n\n                                    \n                                \n                                                        <\/div>\n                    \n                        <div class=\"panel bg-green  panelTypeText  noHover \"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel--3\"\n                            id=\"panel--3\">\n\n                            \n                                                                    <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                                                                <h3 class=\"h3-tab-index\">Treat<\/h3>\n                                                \n                                                                                                    <div class=\"text\">\n                                                        <ul>\n<li>Monitored clients\u2019 symptoms<\/li>\n<li>Supported the rapid referral of people who require hospitalization to appropriate services, including transportation<\/li>\n<li>Provided follow-up care and assessment<\/li>\n<\/ul>\n                                                    <\/div>\n                                                \n                                                                                            <\/div>\n                                        <\/div>\n\n                                    \n                                \n                                                        <\/div>\n                                                <\/div>\n\n                    <\/div>\n    <\/div>\n<\/section>\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<section  \n    class=\"nau-block nau-block-panels   \" \n    data-layout_mobile=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\"\n        data-layout_tablet=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\"\n        data-layout_desktop=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\"\n        data-layout_xl=\"groupLayout-Stack gutter_Default panelLayoutPhotoTextVertical  photoAspect-16-9\">\n\n    <div class=\"background-wrapper\">\n        <div class=\"block-main-content\">\n                            <h2 class=\"h2 headlineAlignLeft\">\n                    A national, unique, and impactful workforce                <\/h2>\n            \n            \n            \n            \n            \n            <div class=\"panel-wrapper\">\n                \n                                \n                        <div class=\"panel bg-sunset  panelTypePhotoText   \"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel-Anationaluniqueandimpactfulworkforce-0\"\n                            id=\"panel-Anationaluniqueandimpactfulworkforce-0\">\n\n                            \n                                                                    <picture>\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Physical_Therapy_Phoenix_PT_190-2000x1125.jpg\" media=\"(min-width: 1650px)\" \/><!-- xl -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Physical_Therapy_Phoenix_PT_190-2000x1125.jpg\" media=\"(min-width: 1100px)\" \/><!-- desktop -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Physical_Therapy_Phoenix_PT_190-1200x675.jpg\" media=\"(min-width: 768px)\" \/><!-- tablet -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Physical_Therapy_Phoenix_PT_190-800x450.jpg\" media=\"(min-width: 0px)\" \/><!-- mobile --><img src=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Physical_Therapy_Phoenix_PT_190.jpg\" alt=\"Women receiving a health check with a stethoscope.\"  \/>                                        <\/picture>\n                                        <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                <div class=\"menu-title\">National Workforce<\/div>\n                                                                                                    <h3 class=\"h3-tab-index h4 hasMenuTitle\">National workforce<\/h3>\n                                                \n                                                \t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"text alt-link-caret\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p>The Indian Health Services (IHS) CHRs program was developed in 1968 and is the oldest federally funded community health worker workforce in the country. As a highly trained workforce with a nationally recognized scope of practice, more than 1,600 CHRs representing over 250 tribes operate in all 12 IHS Areas.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t                                            <\/div>\n                                            \n                                                                                    <\/div>\n                                    \n                                \n                                                        <\/div>\n                    \n                        <div class=\"panel bg-twilight  panelTypePhotoText   \"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel-Anationaluniqueandimpactfulworkforce-1\"\n                            id=\"panel-Anationaluniqueandimpactfulworkforce-1\">\n\n                            \n                                                                    <picture>\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/6151_Alumni_Awards_20191014-2000x1125.jpg\" media=\"(min-width: 1650px)\" \/><!-- xl -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/6151_Alumni_Awards_20191014-2000x1125.jpg\" media=\"(min-width: 1100px)\" \/><!-- desktop -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/6151_Alumni_Awards_20191014-1200x675.jpg\" media=\"(min-width: 768px)\" \/><!-- tablet -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/6151_Alumni_Awards_20191014-800x450.jpg\" media=\"(min-width: 0px)\" \/><!-- mobile --><img src=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/6151_Alumni_Awards_20191014.jpg\" alt=\"Nursing faculty member talking to another person while smiling.\"  \/>                                        <\/picture>\n                                        <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                \n                                                                                                    <h3 class=\"h3-tab-index h4\">Unique workforce<\/h3>\n                                                \n                                                \t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"text alt-link-caret\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p>CHRs are unique from other health professionals because they often are members of the tribal community that they serve, speak the same language, and have a deep understanding of the cultural and traditional knowledge of their clients. CHRs improve the social determinants of health and decrease health inequities in tribal communities. Integrating CHRs in interdisciplinary health teams and interventions is an evidence-based practice. When involved, CHRs improve chronic disease prevention and management, mental health, and utilization and quality of healthcare.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t                                            <\/div>\n                                            \n                                                                                    <\/div>\n                                    \n                                \n                                                        <\/div>\n                    \n                        <div class=\"panel bg-gold  panelTypePhotoText    hasLink panelLinkTypeArrow\"\n                            data-role=\"tabpanel\"\n                            data-panel=\"panel-Anationaluniqueandimpactfulworkforce-2\"\n                            id=\"panel-Anationaluniqueandimpactfulworkforce-2\">\n\n                                                            <a href=\"https:\/\/health.gov\/healthypeople\/priority-areas\/social-determinants-health\"\n                                    target=\"_blank\"\n                                    alt=\"Social determinants of health\">\n                            \n                                                                    <picture>\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/3182_Nursing_2_20200924-2000x1125.jpg\" media=\"(min-width: 1650px)\" \/><!-- xl -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/3182_Nursing_2_20200924-2000x1125.jpg\" media=\"(min-width: 1100px)\" \/><!-- desktop -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/3182_Nursing_2_20200924-1200x675.jpg\" media=\"(min-width: 768px)\" \/><!-- tablet -->\n                                            <source srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/3182_Nursing_2_20200924-800x450.jpg\" media=\"(min-width: 0px)\" \/><!-- mobile --><img src=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/3182_Nursing_2_20200924.jpg\" alt=\"Two female nursing students wearing masks and looking at fake patient.\"  \/>                                        <\/picture>\n                                        <div class=\"content\">\n                                            <div class=\"text-wrapper\">\n                                                \n                                                                                                    <h3 class=\" h4\">Impact the social determinants of health<\/h3>\n                                                \n                                                \t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"text alt-link-caret\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p>Social determinants of health are the conditions and factors outside of medical care that play a fundamental role in health and quality-of-life outcomes for a population. As trusted, frontline community health workers, community health representatives are highly engaged in activities that improve key social determinants of health, such as:<\/p>\n<ul>\n<li>Access to health care<\/li>\n<li>Social and cultural cohesion<\/li>\n<li>Social justice<\/li>\n<li>Environmental quality<\/li>\n<li>Quality housing<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t                                            <\/div>\n                                            \n                                                                                                                                                <span class=\"panel-arrow-text\">Social determinants of health<\/span>\n                                                                                                \n                                                <span role=\"none\" class=\"panel-link panelLinkTypeArrow\"><\/span>\n                                                                                    <\/div>\n                                    \n                                                                    <\/a>\n                                \n                                                        <\/div>\n                                                <\/div>\n\n                    <\/div>\n    <\/div>\n<\/section>\n\n    <\/div>\n<\/section>\n\n\n\n<section         class=\"nau-block full-width-image-with-text-box secondary grid grid-md-12 -grid-fullwidth no-padding span-md-12  mobile-image-yes tablet-image- desktop-imageheight-  textbox-registration-bottomright  textbox-xl-width-2-3 textbox-background-true-blue  bg-true-blue-95 content-type-wysiwyg_linkbank  \">\n\n    <div class=\"full-width-image-with-text-box-picturediv\">\n\n            <picture class=\"left-nav-top-bound main\">\n            <source media=\"(min-width: 1650px)\" srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Occupational_Therapy_OT_051-2000x1125.jpg\">\n            <source media=\"(min-width: 1100px)\" srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Occupational_Therapy_OT_051-2000x800.jpg\">\n            <source media=\"(min-width: 768px)\" srcset=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Occupational_Therapy_OT_051-1200x675.jpg\">\n            <img src=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Occupational_Therapy_OT_051-800x450.jpg\" alt=\"Person using a tape measure to measure the length of a persons thumb.\">\n        <\/picture>\n    \n    <\/div>\n    <div class=\"fwi-text-box  bg-true-blue-95 \">\n\n    <h2>\n    \n    Checklist resources\n    <\/h2>\n\n\n    <p>These checklists were adapted from: \u201cChecklist for Administrators, Managers, and Clinicians to Integrate Community Health Workers in Vaccine Outreach, Acceptance, and Distribution Strategies.\u201d Prepared for the Association of Clinicians for the Underserved by the National Association of community health workers (2021).<\/p>\n\n\n\n\n\n\n    \n    <div class=\"fwi-linkbank-ul-div\">\n        <ul class=\"fwi-linkbank-ul\">\n\n            \n                <li class=\"\">\n                    <a href=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Community-Health-Representative-Toolkit-Checklists_Roles-and-Competencies_ADA-Final.pdf\" target=\"\"\n                       class=\"arrow-cta-pad-box  link-has-description \">\n                                                <h4 class=\"h5\"><\/h4>                        <small class=\"link-bank-description\">Roles and competencies<\/small>                    <\/a>\n                <\/li>\n\n                \n                <li class=\" last-li-in-col \">\n                    <a href=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Community-Health-Representative-Toolkit-Checklists_Training-and-Resources_ADA-Final.pdf\" target=\"\"\n                       class=\"arrow-cta-pad-box  link-has-description \">\n                                                <h4 class=\"h5\"><\/h4>                        <small class=\"link-bank-description\">Training and resources<\/small>                    <\/a>\n                <\/li>\n\n                \n                <li class=\"\">\n                    <a href=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Community-Health-Representative-Toolkit-Checklists_Health-and-Safety_ADA-Final.pdf\" target=\"\"\n                       class=\"arrow-cta-pad-box  link-has-description \">\n                                                <h4 class=\"h5\"><\/h4>                        <small class=\"link-bank-description\">Health and safety<\/small>                    <\/a>\n                <\/li>\n\n                \n                <li class=\"\">\n                    <a href=\"https:\/\/legacy.nau.edu\/wp-content\/uploads\/sites\/234\/Community-Health-Representative-Toolkit-Checklists_Infrastructure-and-Support_ADA-Final.pdf\" target=\"\"\n                       class=\"arrow-cta-pad-box  link-has-description \">\n                                                <h4 class=\"h5\"><\/h4>                        <small class=\"link-bank-description\">Infrastructure and support<\/small>                    <\/a>\n                <\/li>\n\n                \n        <\/ul>\n    <\/div>\n\n\n\n    <\/div>\n\n\n    <\/section>\n\n<section class=\"nau-block left-nav-section grid-md-12\">\n        <div class=\"page-content\">\n        \n\n<h2>Acknowledgements<\/h2>\n\n\n\n<p>This guide was developed by the CHRs WITH uS! initiative (Community Health Representative Workforce Integration in Tribal Health Systems to Address COVID-19), which is a consortium of Arizona community health representative programs, the Arizona Advisory Council on Indian Health Care, and Northern Arizona University\u2019s Center for Community Health and Engaged Research. These materials are informed by in-depth interviews with CHRs and managers, CHR program and tribal emergency response plans and policies, and a literature review on CHR integration within public health emergency response plans and efforts. Photo credit:&nbsp;J. Daniel Hud.<\/p>\n\n\n\n<p><strong>Prepared by<\/strong><\/p>\n\n\n\n<ul><li>Northern Arizona University,&nbsp;Center for Community Health and Engaged Research<\/li><li>Janet Yellowhair, MPH, &nbsp;Research Coordinator<\/li><li>Louisa O\u2019Meara, MPH, &nbsp;Research Coordinator Senior<\/li><li>Samantha Sabo, DrPH, MPH, Professor Health Sciences<\/li><\/ul>\n\n\n\n<p><strong>In collaboration with<\/strong><\/p>\n\n\n\n<ul><li>Brook Bender,&nbsp;Hualapai Tribe Senior Services Department<\/li><li>Marianne Bennett,&nbsp;Salt River Pima-Maricopa Indian Community Community Health Services<\/li><li>Fernando Flores Jr.,&nbsp;Colorado River Indian Tribes Community Health Representative Program<\/li><li>Joyce Hamilton,&nbsp;Hopi Tribe Department of Health and Human Services<\/li><li>Rema Metts,&nbsp;Gila River Health Care Corporation Public Health Nursing<\/li><li>J.T. Neva Nashio,&nbsp;White Mountain Apache Tribe Community Health Representative Program<\/li><li>Sheryl Taylor,&nbsp;Cocopah Indian Tribe Tribal Health Maintenance Program<\/li><\/ul>\n\n\n\n<p><strong>With review by<\/strong><\/p>\n\n\n\n<ul><li>Arizona Tribal Executive Committee, Public Health Emergency Preparedness<\/li><li>Arizona Advisory Council on Indian Health Care, Tribal Pandemic Coalition Coordinator<\/li><li>Indian Health Service Phoenix Area, Community Health Representative &#8211; Public Health Nursing Office<\/li><\/ul>\n\n\n\n<p><strong>Endnotes<\/strong><\/p>\n\n\n\n<ol><li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.ihs.gov\/sites\/coronavirus\/themes\/responsive2017\/display_objects\/documents\/IHS_COVID_100DayReview.pdf\" target=\"_blank\">IHS Covid-19 Response 100 Day Review.<\/a> Indian Health Service. (2020) Accessed July 10, 2023. <\/li><li><a href=\"https:\/\/health.gov\/healthypeople\/priority-areas\/social-determinants-health\">Office of Disease Prevention and Health Promotion. (n.d.). Social determinants of health.<\/a> Healthy People 2030. U.S. Department of Health and Human Services. <\/li><li><a href=\"https:\/\/communityhealthalignment.org\/wp-content\/uploads\/2020\/11\/CBWA-Playbook-for-CHW-Engagement-Summary.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">A Playbook for Local Health Departments to Advance CHW Engagement in COVID-19 Response Strategies<\/a>. The Community-Based Workforce Alliance. (2021) <\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.ihs.gov\/ihm\/pc\/part-3\/p3c16\/\" target=\"_blank\">CHR Standards of Practice.<\/a> Indian Health Services. (1991)&nbsp;<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/mhpsalud.org\/portfolio-items\/healthcenters-chws\/\" target=\"_blank\">Resource Guide for Health Centers: Community Health Workers and COVID-19 Vaccine.<\/a> MHP Salud. (2021)&nbsp;<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/training\/index.html\" target=\"_blank\">HIPAA Training and Resources.<\/a> U.S. Department of Health and Human Services. (2023)&nbsp;<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/emergency.cdc.gov\/cerc\/training\/index.asp\" target=\"_blank\">Crisis and Emergency Risk Communication Training.<\/a> Centers for Disease Control and Prevention. (2018)&nbsp;<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/training.fema.gov\/nims\/\" target=\"_blank\">National Incident Management System (NIMS)<\/a>. Federal Emergency Management Agency (FEMA). (2015)<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.fema.gov\/sites\/default\/files\/documents\/fema_2022-npr.pdf\" target=\"_blank\">National Preparedness Report: December 2022.<\/a> Federal Emergency Management Agency (FEMA), National Preparedness Assessment Division. (2022)<\/li><\/ol>\n\n\n\n<p class=\"is-style-default\"><em>This publication was supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) (NU58DP006992) Coronavirus Aid, Relief, and Economic Security Act (\u201cCARES Act\u201d) Public Law 116-136 Public Health Service Act 42 U.S.C. 301(a). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC\/HHS, or the U.S. Government.<\/em><\/p>\n\n\n    <\/div>\n<\/section>\n\n<div class=\"nau-block nau-block-left-nav-bottom-bound\">\n\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":692,"featured_media":12357,"parent":1630,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ring_central_script_selection":""},"acf":[],"_links":{"self":[{"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/pages\/8829"}],"collection":[{"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/users\/692"}],"replies":[{"embeddable":true,"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/comments?post=8829"}],"version-history":[{"count":99,"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/pages\/8829\/revisions"}],"predecessor-version":[{"id":16661,"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/pages\/8829\/revisions\/16661"}],"up":[{"embeddable":true,"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/pages\/1630"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/media\/12357"}],"wp:attachment":[{"href":"https:\/\/legacy.nau.edu\/center-community-health-engaged-research\/wp-json\/wp\/v2\/media?parent=8829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}