| Objective | Themes | Sub-Themes |
|---|---|---|
| The challenges faced by CHWs | 1. Socio-economic and demographic challenges | CHWs Walking long distances to clients’ homes CHWs performing two roles for one small stipend Clients not having food while expected to take medication regularly Clients not following-up their medications Stock shortages at clinics |
| 2. Non-adherence to medication and health advice | Clients sharing medications Clients drinking alcohol Clients not adhering to prescribed diabetic diet Clients refusing to take medication |
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| 3. Poor reception in Households and non-recognition as other members of the health team | Not allowed to use screening tools to assess clients Not being accepted at clients’ homes Clients refusing to sign CHWs records of household visit |
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| 4. Mentally illness stereotypes | Mentally ill clients abuse by family members |