Design-Based Research in Healthcare: A New Approach to Advocacy Among Community Health Workers

Discover the impact of a Design-Based Research approach in transforming Community Health Workers (CHWs) into active advocates within their communities.

CHWs are uniquely suited to be health advocates due to their distinctive roles, relationships, and understanding of the challenges their communities encounter. However, the absence of institutional support—including limited supervision, insufficient financial remuneration, inadequate supplies, equipment, and training, along with feeling undervalued by healthcare colleagues—often leaves CHWs feeling powerless in their roles and work environment, making them perceive themselves as unappreciated members of the healthcare system. In certain low-resourced areas, CHW programs have collapsed due to high attrition caused by the insufficient support given to CHWs.

Research suggests that advocacy and leadership training may increase the likelihood of CHWs engaging in political, civic, and workplace advocacy. Inspired by this potential, we initiated a study within a course development project to look at how training in leadership and advocacy might change the way CHWs approach their roles within their communities and workplaces. In a recently published paper, we share our deep dive into our process, findings, and implications about how CHWs may become stronger and more confident advocates for themselves and their communities after going through these training programs.

At the Stanford Center for Health Education, we believe that expanding access to engaging education has the power to change behaviors, improve health, and save lives.

Stanford Center for Health Education

Digital Medic