SWOT Analysis and Recommendations for Community Health Workers and Stakeholders Responding to COVID-19 Health Inequities

Author:

Zoschke I. Niles1ORCID,Betancur Alejandro1,Ehsan Sara1ORCID,TenHaken Jill D.2,Rahman Justin R.12,King-Tezino Kim2,Kramer-Najjar Megan2,Bravo Carlos A.2,Wilkerson J. Michael1

Affiliation:

1. University of Texas Health Science Center at Houston, Houston, TX, USA

2. Harris County Public Health, Houston, TX, USA

Abstract

Background. By 2023, 1,080,000 cases of COVID-19 have been reported in Harris County. Systemic inequity and vaccine hesitancy have contributed to COVID-19 disparities. Community Health Workers provide health education and instrumental support to alleviate health disparities among vulnerable communities. We conducted an analysis of Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis in June 2022 among a broad coalition of Community Health Work stakeholders to better understand the local landscape in the context of the COVID-19 pandemic. Methods. We recruited 33 community health workers and industry stakeholders in Harris County, Texas, to participate in the SWOT analysis. Participants were asked to describe their opinions on the SWOT facing the Community Health Work landscape and then rank the outcomes of the analysis to prioritize action. Results. A total of 19 themes were identified. Weaknesses included lack of respect and resources for Community Health Workers and poor coordination and capacity among the workforce infrastructure. Limited funding and lack of appreciation for Community Health Workers were deemed important threats. Diversity and community connection were critical strengths, and strong education, training, and raising awareness for community health work were considered opportunities to overcome identified weaknesses and threats. Discussion. Increased funding, greater coordination, greater respect, and amplified training can improve capacity for Community Health Workers and, therefore, improve public health outcomes for respiratory illness and viral infections such as COVID-19. This analysis helps fill an important research gap on the topic Community Health Workers responding to public health crises with racially disparate outcomes.

Publisher

SAGE Publications

Subject

Nursing (miscellaneous),Public Health, Environmental and Occupational Health

Reference26 articles.

1. Community Health Worker Training Curricula and Intervention Outcomes in African American and Latinx Communities: A Systematic Review

2. Recommendations for Developing and Sustaining Community Health Workers

3. APHA.org. (n.d.). Community health workers. https://www.apha.org/apha-communities/member-sections/community-health-workers

4. Community Health Workers Collaborative of South Dakota. (2022). https://chwsd.org/

5. Community health workers’ role in supporting pediatric asthma management: A review.

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