(B) stigmatization of and discrimination 
against individuals living with diseases and 
other marginalized groups; and 
(C) the legal, civil, and human rights of all 
individuals, including the right of access to 
health services; and 
(4) community health workers are— 
(A) recognized for their work; 
(B) integrated into countries’ health sys-
tems through— 
(i) a functional process by which com-
munity health workers may refer patients 
to other appropriate health workers; and 
(ii) the provision of ongoing support 
and supervision; 
(C) paid adequate salaries and offered tan-
gible pathways for career advancement; and 
(D) when possible, recruited from under-
served and rural communities. 
SEC. 7. DEFINITIONS. 
In this Act, the following definitions apply: 
(1) COMMUNITY HEALTH WORKER.—The term 
‘‘community health worker’’ means a health worker 
who is engaged in the provision of health services di-
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rectly to individuals and who does not have the ad-
vanced training of a health professional. 
(2) 
HEALTH
PROFESSIONAL.—The 
term 
‘‘health professional’’ means a health worker who 
provides health services and has received advanced 
training regarding the provision of such services, in-
cluding doctors, nurses, midwives, pharmacists, 
pharmacy technicians, dentists, laboratory techni-
cians, and clinical officers. 
(3) HEALTH PROFESSIONAL TRAINING INSTITU-
TION.—The term ‘‘health professional training insti-
tution’’ means an institution that trains health pro-
fessionals in accordance with generally accepted 
standards of clinical practice and confers a degree or 
diploma on each graduate of a training program. 
(4) HEALTH SYSTEM.—Used in relation to a 
country, the term ‘‘health system’’ means all compo-
nents, public and private, of the health care mobili-
zation, financing, and delivery system of such coun-
try, including health workers, health professionals, 
clinics, hospitals, pharmacies, institutions per-
forming health-related research, producers of phar-
maceuticals and medical equipment, and government 
health-service agencies. 
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(5) HEALTH
WORKER.—The term ‘‘health 
worker’’ means any individual who provides or sup-
ports the provision of health services, directly or in-
directly, including health professionals, paraprofes-
sionals, community health workers, social workers, 
caregivers, nutritionists, health administrators and 
managers, and government officials who set health 
care policy. 
(6) 
INTERNATIONAL
FINANCIAL
INSTITU-
TION.—The term ‘‘international financial institu-
tion’’ means the following institutions: 
(A) The International Bank for Recon-
struction and Development. 
(B) The International Development Asso-
ciation. 
(C) The International Finance Corpora-
tion. 
(D) The Multilateral Investment Guar-
antee Agency. 
(E) The International Centre for Settle-
ment of Investment Disputes. 
(F) 
The 
Inter-American 
Development 
Bank. 
(G) The Asian Development Bank. 
(H) The Asian Development Fund. 
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(I) The African Development Bank. 
(J) The African Development Fund. 
(K) The International Monetary Fund. 
(L) The North American Development 
Bank. 
(M) The European Bank for Reconstruc-
tion and Development. 
(7) NATIONAL
HEALTH
STRATEGY.—Used in 
relation to a country, the term ‘‘national health 
strategy’’ means any set of policies, whether or not 
formally enumerated and however called, aimed at 
improving health outcomes in such country by im-
proving and increasing access to the health system 
of such country. 
(8) POOR, VULNERABLE, OR
MARGINALIZED 
POPULATIONS.—The term ‘‘poor, vulnerable, or 
marginalized populations’’ means— 
(A) indigenous populations; 
(B) racial, ethnic, religious, and national 
minorities; 
(C) children who have lost one or both par-
ents; 
(D) women and girls; 
(E) individuals with physical or mental dis-
abilities; 
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(F) individuals living with chronic or infec-
tious diseases; 
(G) sexual minorities, including men who 
have sex with men; 
(H) sex workers; 
(I) drug users; 
(J) incarcerated and formerly incarcerated 
individuals; 
(K) individuals of foreign national origin; 
(L) refugees and internally displaced popu-
lations; 
(M) the elderly; 
(N) individuals who live in rural areas; and 
(O) any other group that has difficulty ac-
cessing health services because of economic, po-
litical, or social status. 
Æ 
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