Amplifying Community Voices Through a Community Health Worker-Led Model for Authentic Community Engagement

Abstract

The Enhancing Equity in Cross-Sector Alignment Through Meaningful Community Engagement research project sought to strengthen authentic, equitable collaboration among public health, healthcare, and social service sectors by centering Community Health Workers (CHWs) as co-researchers. The project aimed to model meaningful community engagement (MCE) practices that prioritize trust, shared power, and inclusion of lived experience in decision-making. Using a participatory qualitative approach, CHWs were fully integrated into all stages of the research process, from study design and data collection to analysis and dissemination. The research team partnered with four South Carolina communities to explore local perspectives on engagement, conducting open mic community conversations, in-depth interviews, and community data-sharing sessions. CHWs co-facilitated these activities and collaborated on data analysis to identify barriers, facilitators, and strategies for equitable engagement. Key findings highlighted trust as the foundation of meaningful engagement and underscored the need for cross-sector collaboration to address structural inequities. Participants emphasized the importance of relationship-building, authentic communication, and the inclusion of trusted community voices in shaping solutions. Findings informed the development of practical tools and frameworks designed to strengthen engagement practices across sectors. Sustainable health improvements depend on CHW-led, community-driven approaches that build trust and foster long-term, equitable partnerships.