The document discusses the history and development of Community Health Workers (CHWs) in Texas. It describes how CHW programs started in the late 1900s through community organizations focused on improving public health. In 1999, legislation established a committee to develop CHW curriculum, certification processes, and training programs. This led to the formation of a CHW Advisory Committee in 2002 to oversee the certification of CHWs. The document outlines the distribution of CHW training programs and certified CHWs across Texas as of 2010. It provides details about the CHW training program at Houston Community College, including course content, faculty, educational format, and intended outcomes to provide students with academic credit, certification, employment opportunities, and higher health literacy.