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Medical and health sciences
- Health and community service
- Primary health care
Proportional universalism is a public health strategy that seeks to improve health outcomes by providing services universally, while scaling the intensity of interventions according to the level of need. In this context, the deployment of community health workers (CHWs) in general practice plays a crucial role in implementing this approach. CHWs act as intermediaries between healthcare services and the community, with a particular focus on vulnerable populations to help reduce health inequities. By addressing social determinants of health, improving access to care, and providing culturally sensitive support, CHWs ensure that interventions are tailored to those most in need while preserving a universal framework. This study examines pilot interventions in three community health centers where CHWs are engaged in health promotion activities, including cancer screening, social support, and physical activity promotion..