INTRODUCTION

Community health workers commonly known as CHWs are a component of many health
systems, particularly in countries with low and medium incomes. Generally, CHWs are
volunteers that can earn living allowance. In order to expand coverage of maternal, child and
female health interventions, the use of CHWs is to provide services to child caregivers in their
communities. In South Africa, reducing deaths among mothers and children remains an
important health issue l, despite the changes in infants and maternal mortality resulting from
substantial investment in health services. In many countries, community health workers are a
part of the health system, the aim of using CHWs is to provide adequate, affordable treatment
and to bring care closer to mothers and children.

SUMMARY

Trust of community health workers influences the acceptance of community-based

maternal and child health services. This article tells us that as part of the group, Community
Health Workers face the same health issues and may support community organizing to confront
the root causes of ill health, but before we tackle more about this, let us know first what is the
position of the Health Workers Community? The basic role of Community Health Workers is to
increase access to Primary Health Care for the community.
According to this article, a lack of faith is a primary contextual obstacle to community-
based MCH programs being embraced. Effective community-based approaches in public health
are based on relationships of confidence and good contact with people. The belief that gossip by
CHWs is an obstacle to trustworthy relationships can be compromised by the expectations of
CHWs by health care professionals. In a special, complex climate, in the household dynamics
placed on a very unique multifarious South African cultural background, the relationships of
trust that CHWs need to build with community members are played out. In fact, socio-structural
variables, such as gender, age and social status, affect the capacity of CHWs to communicate
with all members of the group. Trust was built from individual experiences and perceptions of
the CHWs' services. Participants indicated that CHWs were more trustworthy if they were
educated, knowledgeable and received adequate training. Developing trustworthy relationships
involves system-level collaborative collaboration and relies on good communication with all
health team members. In high HIV prevalence settings where CHWs help HIV-infected mothers
and their children, trust issues are especially challenging. South Africa has recently adopted
Method B plus for PMTCT from the World Health Organisation, which requires lifelong ART
for all HIV-infected mothers from the moment of HIV diagnosis. Clinic staff play a role in
promoting trust and confidence among members of the community in the ability of CHWs to
provide and communicate with effective services. This attitude will spread to the community if
nurses do not trust CHWs, This leads to the competency of CHWs being challenged and the
acceptance of services being decreased.