August 9, 2026

Why Community Health Workers Should Sit at the Policy Table

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Dr. Jennifer Njenga

Founder & Convener, BriJen

The people who make it are rarely the most credentialed. They are the ones somebody bothered to answer.

Ask anyone working in global health how they got their first role and you will almost never hear a story about a job board. You will hear about a supervisor who forwarded a posting, a professor who made an introduction, a stranger on a panel who took a call the following week. The field runs on relationships, and relationships are not evenly distributed.

That is the uncomfortable part. The sector talks constantly about equity in the populations it serves and much less about equity in who gets to serve. A student with two family friends at a UN agency and a student with the same grades and more field experience are not applying for the same job, whatever the posting says. One of them has a set of doors that open from the inside.

Mentorship is how those doors get propped open for someone else. Not only the formal kind that runs on a six-month calendar and produces a certificate, but the ordinary kind. A reply to a cold email. Twenty minutes on a call. A sentence in a recommendation that says what the CV cannot. Being told, plainly, that the thing you are worried about is not the thing that will hold you back.

What actually helps

Early-career researchers and clinicians tell us the same three things over and over.

Specificity beats encouragement. “You’d be great at this” is pleasant and useless. “Apply to this fellowship, the deadline is in March, and mention that you did fieldwork in a rural district” is a plan. Mentors who have done the job know which details matter on an application, and that knowledge is worth more than any amount of belief.

Introductions cost the mentor almost nothing. A two-line email connecting two people is thirty seconds of work and can reroute a career. Most senior people underestimate this by an order of magnitude.

Consistency matters more than intensity. A thirty-minute call every two months for two years builds something a single intensive workshop cannot. The mentee gets to bring real problems as they happen, rather than performing readiness on a scheduled date.

It runs in both directions

Senior clinicians and policy leads are quick to say they get as much as they give. Mentees bring current questions — about digital tools, about how a new generation reads institutional legitimacy, about what is actually happening in a district office right now rather than what the report said last year. Anyone who has been in the same seat for a decade can lose that signal entirely.

This is why BriJen treats mentorship as infrastructure rather than a perk. It is not a nice addition to the programming. It is the mechanism by which the field renews itself, and when it only operates informally, it renews itself along the same lines it always has.

If you are early in your career

Ask. The failure mode is almost always silence, not rejection. Send the email, name what you want specifically, and make it easy to say yes. A fifteen-minute call about one question is far more likely to be accepted than an open-ended request for guidance.

And if you are further along: someone is drafting an email to you right now and deleting it. Answer the ones that arrive.

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About the author

Dr. Jennifer Njenga

Founder and Convener of BriJen. Physician and health-systems researcher working at the intersection of policy and frontline practice.

About the guest

Dr. Emma Whitfield

Dr. Emma Whitfield is a physician and public health researcher who has worked across primary care and health policy for over a decade. She hosts BriJen's conversations, drawing out the practitioners, students, and policymakers who rarely share a room.

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