Community health workers (CHWs) participate in advocacy as a crucial means to empower clients in overcoming health disparities and to improve the health and social well-being of their communities. Building on previous studies, this article proposes a new framework for conceptualising CHW advocacy, depending on the intended impact level of CHW advocacy. CHWs participate in three ‘levels’ of advocacy, the micro, the macro, and the professional. This article also details the challenges they face at each level. As steps are taken to institutionalise these workers throughout the United States and abroad, there is a danger that their participation in advocacy will diminish. As advocacy serves as a primary conduit through which to empower clients, enshrining this role in steps to integrate these workers is essential. Finally, this article provides justification for the impacts of CHWs in addressing the social determinants of health and in helping their communities strive towards health equity.

中文翻译：

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成为社区卫生工作者意味着倡导

社区卫生工作者 (CHW) 参与宣传是增强服务对象克服健康差异和改善社区健康和社会福祉的重要手段。在以往研究的基础上，本文根据 CHW 倡导的预期影响水平，提出了一个概念化 CHW 倡导的新框架。CHW 参与三个“层面”的倡导，即微观、宏观和专业。本文还详细介绍了他们在每个级别面临的挑战。随着美国和国外采取措施将这些工人制度化，他们参与倡导的危险可能会减少。由于宣传是赋予客户权力的主要渠道，因此在整合这些员工的步骤中体现这一角色至关重要。最后，