Book excerpt: "Health is a universal topic although complex to understand because to adequately cover it requires the introduction of an historical context and socio-cultural factors. Health and health inequities touch the lives of millions of people of color across all regions, and a desperate search for innovative ways of reaching them in an affirming and cost effective manner. This search translates into cultural and linguistic programs that empower and foster social change, bringing immense rewards and challenges. Community health workers offer tremendous promise in getting much needed health care to those in most need, allowing for innovative practice in reaching those in greatest need. Health care, health workers, urban communities"--