Esteem HealthCHW Certification Training
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Module 4: CHW in PracticeLesson 4.4 · 9 sections · ~35 min

CHW Code of Ethics

Learning Objectives
  • Identify the core values and principles of the CHW Code of Ethics and their role in ethical decision-making.
  • Apply the four articles of the Code to analyze and address ethical challenges in CHW practice.

The CHW Code of Ethics

CHWs are entrusted with upholding the highest standards of excellence, and they face challenging ethical questions frequently. The CHW Code of Ethics — based on the core values adopted by the American Association of Community Health Workers — provides a framework for CHWs, supervisors, and care teams to navigate ethical challenges.

The Code encompasses common principles applicable to all healthcare professionals — social justice, positive health, and dignity — but it may not address every situation you'll encounter.

When the Code is silent
The absence of specific guidelines doesn't excuse you from your ethical obligations. Reflect on your responsibilities. Communicate with your care team. Resolve concerns thoughtfully.

The four articles

The Four Articles

Slide 1/4

Article 1

Responsibilities in the Delivery of Care.

Article 1: Responsibilities in the Delivery of Care

CHWs build trust and community capacity by improving the health and social welfare of those they serve. When conflicts arise, CHWs give priority to issues that promote wellness for the individual or client.

Six Provisions

Article 2: Promotion of Equitable Relationships

CHWs focus on the wellbeing of the whole community. They value the expertise each community member possesses.

Five Provisions

Watch: Cultural Humility

Cultural Humility
Reflection Prompts

The professor in the video references Maya Angelou: "I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel." How does this quote relate to cultural humility and CHW work?

What's a moment in your own life when how someone made you feel mattered more than what they said or did?

Apply the Code: Help Leila

Leila is a recent immigrant from a Middle Eastern country. She's hesitant about Western medical care. Can you assist her while respecting her cultural values and ensuring she receives equitable treatment?

Community Member
Practice conversation
I use traditional cultural healing practices for my condition, and they have worked well for me. I'm hesitant about medical care here because I'm not confident my cultural beliefs will be respected.

Article 3: Interactions With Other Service Providers

CHWs maintain professional partnerships with other service providers to serve the community effectively.

Three Provisions

Article 4: Professional Rights and Responsibilities

The CHW profession is dedicated to excellence in promoting community wellbeing. CHWs uphold the principles and integrity of the profession.

Seven Provisions

Knowledge Check

Under Article 1, what should a CHW do when an issue falls outside their scope of practice and training?

ADo their best to handle it themselves to avoid burdening the client.
BAcknowledge the limit and refer the client to appropriate health, wellness, or social support services.
CTell the client the issue isn't important enough to pursue.
DMisrepresent their qualifications so the client feels reassured.
Knowledge Check — Matching

Match each article of the CHW Code of Ethics to what it primarily addresses.

Terms
Article 1
Article 2
Article 3
Article 4
Definitions
Promotion of equitable relationships
Professional rights and responsibilities
Responsibilities in the delivery of care
Interactions with other service providers
Knowledge Check

A client shares that an employer policy will offend and harm members of the community a CHW serves. Which Article 2 provision applies?

A2.1 Cultural Humility — the CHW has an obligation to inform the employer.
B2.5 Client Relationships — the CHW should keep professional boundaries and stay silent.
C2.3 Respect for Human Rights — the CHW should refer the matter to law enforcement.
DNone — employer policy is outside a CHW's ethical responsibility.
Lesson Takeaways

🌟 Lesson takeaways

The CHW Code of Ethics is a four-part framework. Article 1 outlines responsibilities to promote client wellness and maintain professional integrity in the delivery of care. Article 2 describes equitable relationships of trust and respect with clients and communities. Article 3 outlines professional relationships with other providers. Article 4 details the professional rights of CHWs and their responsibility to strive for excellence. The Code provides guidelines but doesn't cover everything — when specific guidance is missing, reflect on your ethical obligations and consult your care team.

🎉Great work!
📅
Coming up

Great work! At the end of this module, you'll join a live discussion with your cohort and an instructor to work through ethical challenges together. We'll see you there.