C3 Project

Introduction to the Project

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Community Health Worker Core Consensus (C3) Project

Click here to download C3 Project Report


Project Focus: to help advance consensus in the U.S. Community Health Worker (CHW) field by producing recommendations for consideration and adoption on common elements of CHW Scope of Practice and Core Competencies.  It is anticipated these recommendations, building on foundational work in the field, will be useful in various settings including in the design of training curricula and CHW practice guidelines for use at the local, state, and national levels.

C3 Project Timeline: 

Launch: Summer, 2014

Findings Review Meeting: at American Public Health Association (APHA) Annual Meeting, November 15, 2014

Release of Initial Recommendations Report: planned for Summer 2016; draft reviewed by state and local CHW associations nationwide

Project Origins:  The C3 Project builds on the 1998 National Community Helath Advisor Study (University of Arizona) and recent work (Phase 1) led by the National AHEC Organization (NAO) on CHW curriculum funded by the Amgen Foundation. 

C3, with continued funding support to NAO from the same source, and more recently from Sanofi-US and the State of Wisconsin, was collaboratively led by team members from the Texas Tech University and the University of Texas - Houston Project on CHW Policy and Practice, in collaboration with consultants who are leaders in CHW capacity building.   

For questions, please contact: info@c3project.org

to join the C3 Project mailing list, click on this link: mailing@c3project.org



Carl H. Rush                                               E. Lee Rosenthal Julie Parrish St. John

carl@chrllc.net                                                      Lee.Rosenthal@ttuhsc.edu        Julie.St-John@ttuhsc.edu

For NAO’s CHW Working Group contact Paula Blackwell at: Paula.Blackwell@umm.edu


C 3 Project Values and Principles



Developed in Spring 2014 in consultation with Project consultants and administrative team in preparation for the C3 Project launch set for June 2014.


CHWs should:

·      Come from the communities they serve;

·      Be recognized as members of a unique profession with a unique scope of work;

·      Be meaningfully involved in efforts to create policy for their field;

·      Be trained and supported to play a full range of roles and work across all levels of the socio-ecological model;

·      Be recognized and rewarded for their experiential knowledge;

·      Participate in initial and on-going training that is informed by and based on popular education and adult learning and that includes relevant and practical content;

·      Receive sufficient and appropriate supervision that supports their professional growth;

·      Be compensated at a level commensurate with their skills and contribution; and

·      As they gain experience, be involved as trainers for new CHWs.


Principles for Working in the CHW Field:

·      Integrity: We make decisions transparently, in line with our values and mission, acting with candor and courage.

·      Social Justice: We recognize that the work of CHWs is rooted in efforts to create a more just and equitable society.  CHW training should also be rooted in this pursuit.

·      CHW Leadership: We take steps to achieve our vision of a better world and inspire others to join us.

·      Responsiveness: We are responsive to the concerns of members of the workforce.

·      Equity: We enable broad and fair access to resources and networks that facilitate inclusion of diverse people and perspectives.

·      Effectiveness: We work to achieve impact by using efficient and creative processes in our work to accomplish short and long-term goals.

·      Progress/Innovation: We believe in the potential of ideas to transform the lives of people and build stronger social relationships.


C3 initial Project values reviewed and adopted by C3 core team members to-date including: Wiggins N, Matos S, Proulx D, Hargrove L, Trachtenberg R, Rush C, Rosenthal L.  April, 2014

Values statement principal sources:

Wiggins, N., Kaan, S., Rios-Campos, T., Gaonkar, R., Rees-Morgan, E., Robinson, J. (2013). Preparing community health workers for their role as agents of social change: experience of the Community Capacitation Center. Journal of Community Practice21 (3).

Catalani C, Findley S, Matos S, Rodriguez R (2009). Community Health Worker Insights on Their Training and Certification. Progress in Community Health Partnerships: Research, Education, and Action. Fall 3.3: 227-235

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