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Effective Pluralistic Participation: Case Study of a Community Health Worker Partnership in Miami, Florida

This article analyzes the participation of community health workers (CHWs) in a community partnership. Active participation at all levels is needed for effective influence on the goals of the partnership. This case applies the criteria of pluralistic participation, specifically: (a) role of groups involved, (b) opportunity for learning, (c) access to officials, and (d) means of coercion. By applying a pluralistic democratic approach to community participation of CHWs in Miami, this article explores how CHWs, funding agencies, service organizations, community residents, researchers, and public health officials brought together resources, knowledge and influence to empower community health workers.