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U.S. Department of Health and Human Services
Community Health Representative

Program Management and Guidance

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Indian Health Manual Community Health Representative Policy

The Community Health Representatives (CHR) Program is an Indian Health Service (IHS) funded, tribally contracted/granted and directed program of well-trained, community-based, health care providers, who provide health promotion and disease prevention services in their communities. Details about The CHR Program may be found in the Indian Health Manual Part 3, Chapter 16: Community Health Representatives.

The National Community Health Representative Strategic Plan

The National CHR Strategic Plan [PDF - 1.6 MB] was developed to support the vision and intended actions of the National CHR Program. We hope that CHR programs and partners across the country use the Strategic Plan as a guide to enhance CHR efforts in supporting the health and well-being of AI/AN individuals, families, and communities. Tribal CHR programs may adapt and prioritize the goals, objectives, and strategies in ways that align with community and program needs. Key partners may also use the Plan to understand and support the National CHR Program’s priorities for expanding the provision of comprehensive and culturally affirming services for AI/AN communities.

CHR Guidance Documents

Virtual Home Visits for CHR/CHWs [PDF - 554 KB]

Role and Responsibility for CHR/CHWs [PDF - 242 KB]