Original ArticlesStudying Executive Directors and Supervisors Views of Organizational and Policy-Level Challenges Faced by Community Health WorkersRahman, Rahbel PhD; Ross, Abigail M. PhD, MPH; Chesna, Sharon MPA; Rama Tatikola, Maya MSW; Hopwood, Simone MSW Author Information Graduate School of Social Service, Fordham University, New York City, New York (Drs Rahman and Ross and Ms Hopwood); Mothers & Babies Perinatal Network of SCNY, Inc, Binghamton, New York (Ms Chesna); and Columbia School of Social Work, New York City, New York (Ms Rama Tatikola). Correspondence: Rahbel Rahman, PhD, Graduate School of Social Service, Fordham University, 113 W 60th St, Room 721-F, New York, NY 10023 ([email protected]). Research support was provided by the Graduate School of Social Service, Fordham University, through a Faculty Research Development Fund. The authors thank the Association of Perinatal Networks of New York for their research participation and input. The authors also thank the executive directors and supervisors for participating in the study and for all the work they do to support community health workers. The authors declare that they have no conflict of interest. Journal of Ambulatory Care Management 44(4):p 250-263, October/December 2021. | DOI: 10.1097/JAC.0000000000000389 Buy Metrics Abstract Within the United States, there is an absence of a national community health worker (CHW) program. There is substantial regional and state-based variability in the population served by CHWs, their disease focus, and availability of training, supervision, and other supports. This article seeks to respond to the call in the literature to work collaboratively with CHW professional associations to identify, reflect, and respond to CHW workforce development and sustainability issues. We partnered with 8 member organizations of the Association of Perinatal Networks of New York and conducted 2 focus groups with 7 executive directors and 6 supervisors. Data were analyzed using thematic analysis. Policy barriers included funding, accessibility of evidence-based practices, and credentialing. Organizational barriers included recruitment and high turnover and interorganizational referral processes and management. This study offers recommendations for supports needed to sustain CHWs, with an emphasis on greater investment in recruitment and training, higher compensation, and interorganizational collaboration. © 2021 Wolters Kluwer Health, Inc. All rights reserved.