Published Paper Details:

Health literacy is critical to effective healthcare delivery, particularly in marginalized communities. Accredited social health activists (ASHAs) and Anganwadi workers (AWWs) are frontline community health workers (CHWs) in India and play a significant role in promoting health literacy among marginalized communities. This study aimed to assess the health literacy of AWWs and ASHAs, explore opportunities for enhancing their health literacy, and identify challenges in promoting health literacy among the communities they serve. A literature review explored the understanding, challenges, and opportunities for health literacy among CHWs. CHWs are central to addressing this gap but face significant challenges, including inadequate funding, human resource systems that devalue practical experience, and systemic obstacles. Despite these challenges, the paper identifies key opportunities to enhance CHW effectiveness and, consequently, public health literacy. These include creating standardized, accessible health education modules; leveraging digital tools for ongoing learning; strengthening CHW integration with primary healthcare; implementing health literacy assessments in training; and fostering community engagement for tailored health messaging. Addressing the identified challenges and leveraging opportunities can enhance the effectiveness of CHWs in promoting health literacy, ultimately bridging the gap between healthcare systems and marginalized communities.