The NH Alliance for Healthy Aging (NHAHA) aims to support a healthier community for older adults by increasing awareness of the need for direct care workers across New Hampshire. To carry out this goal, the workgroup brings together partners, data, and initiatives to strengthen the current workforce and build a pipeline of future workers.

Strengthening the Direct Care Workforce

Direct care workers play a vital role in the day-to-day life of older adults, often providing assistance with personal hygiene, light housekeeping, and medication management. Direct care workers serve in a variety of settings (e.g., home care, nursing home, etc.) and often have different names for similar job titles (e.g., licensed nursing assistant, home health aide, community health workers, etc.). Workers help enhance quality of life for older adults through maintaining independence and also provide respite and assurance to family caregivers that loved ones are well cared for.

Yet against this backdrop, New Hampshire faces major challenges. The older adult population is expected to increase exponentially over the next decade, and as people are living longer healthier lives, they want to age at home. This leads to an increase in the growing demand for direct care workers, with some projections suggesting over 24,000 openings by 2028. Due to this increase in demand, many families are struggling to find direct care services. Further, low wages, poor benefits, and a lack of career advancement opportunities contribute to difficulties in recruiting and retaining direct care workers.

NHAHA Workforce Priorities

Strategy 1: Improve direct care worker job quality and increase numbers to meet demand.

The workgroup focuses on strengthening and expanding the direct care workforce by aligning with ongoing initiatives that address workforce shortages and support improvements in job quality.

Strategy in Action: In line with other state efforts to strengthen the direct care workforce, the workgroup is creating a Direct Care Worker Coalition. Led by direct care workers, the coalition will provide peer support, professional development opportunities and elevate the voices of direct care workers. Additionally, the workgroup hosts annual Direct Care Worker Retreats to celebrate the work of direct care workers and provide professional development opportunities and connections with peers.

 

View the Direct Care Workforce Fact Sheet

Strategy 2: Provide education and awareness of the need for direct care workers.

The workgroup emphasizes raising awareness of the need for direct care workers by partnering with communities and stakeholders across New Hampshire to host screenings and discussions on challenges and solutions.

Strategy in Action: The workgroup partnered with NH PBS and the Endowment for Health to support the release of Call to Care NH. This 30-minute segment outlines the challenges direct care workers face as more people are living longer and the demand for care is growing, as well as the innovative solutions to create a better future for older people in New Hampshire and those that care for them. The workgroup teamed up with communities and stakeholders around the state to host screenings of Call to Care NH and have engaged audience members in conversations about solutions.

The workgroup also hosted a two-part webinar series. First, Call to Care NH: The Direct Care Workforce in the Time of Covid-19 focused on the value direct care workers bring to the health care system, the marked increase in demand, and challenges associated with direct care work during the time of a pandemic. Second, Answering the Call to Care: Creating Quality Jobs for Direct Care Workers in NHdiscussed state-based solutions to address the direct care workforce shortage, for example apprenticeship opportunities, state-based programming that targets direct care workers, and policy reforms to increase direct care worker compensation.

Upcoming Events

MAR

24

NHAHA Quarterly Meeting

LEARN MORE
APR

03

AHA Caregiving Workgroup Meeting

LEARN MORE
APR

06

NHAHA Advocacy Workgroup

LEARN MORE
VIEW MORE EVENTS

News

AHA Moments – March 17, 2026

March 17, 2026

Welcome to this week’s “AHA Moments,” a weekly news flash regarding key events, happenings, articles, and other relevant information for our stakeholders.  …

LEARN MORE

AHA Moments – March 10, 2026

March 11, 2026

Welcome to this week’s “AHA Moments,” a weekly news flash regarding key events, happenings, articles, and other relevant information for our stakeholders. Spring…

LEARN MORE
VIEW MORE NEWS