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Kelly Engebretson was excited to get fitted for a prosthetic after having part of his leg amputated. But he wasn't sure how he'd get to the appointment. Nah Thu Thu Win's twin sons needed vaccinations before starting kindergarten.

But she speaks little English, and the boys lacked health insurance. William Arce and Wanda Serrano were recovering from recent surgeries. But the couple needed help sorting out their insurance and understanding their bills.



Engebretson, Win, Arce, and Serrano were fortunate to have someone to help. They're all paired with community health workers in Huron, a city of 14,000 people known for being home to the state fair and what's billed as the world's largest pheasant sculpture. Three workers, employed by the Huron Regional Medical Center, help patients navigate the health system and address barriers, like poverty or unstable housing, that could keep them from getting care.

Community health workers can also provide basic education on managing chronic health problems, such as diabetes or high cholesterol. Community health worker programs are spreading across the U.S.

, including in rural areas and small cities as health providers and state and federal governments increasingly invest in them. These initiatives gained attention during the coronavirus pandemic and have been found to improve people's health and access to preventive care while reducing expensive hospital visits. Community health worker programs can address common barriers in rural areas, w.

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