Navigating knowledges: Community health workers as liminal professionals

Abstract

Abstract ABSTRACTCommunity health workers (CHWs) occupy a liminal position in two senses: they are situated between the communities they come from and serve, and the health and social service professionals with whom they connect patients; and also between two forms of knowledge. In interacting with health and social service institutions, they draw on the ‘technical knowledge’ that dominates these settings. However, they must also draw on ‘communicative knowledge’, which is the situated and embodied knowledge needed to gain the trust of their community peers and to carry their voice, but which is often relegated to a secondary position. In this US-based study, we analyze interviews with CHWs, their supervisors, and advocates of their work, to better understand how CHWs mobilize discursive resources to combine these two forms of knowledge and, in doing so, constitute their liminal position as an essential asset. Our findings support valuing CHWs’ incorporation within healthcare teams, so that health and social service professionals can directly interact with CHWs’ situated and embodied knowledge of patients.