Patient, Chulaimbo Vesatolimod web Finally, several participants in our study had never been in contact with a CHW and suggested that they are unknown in some areas: “I have never seen them” -TB patient, ChulaimboCHWs as an Enabling Resource to Management of HIV, HTN and TBFacilitators. Participants identified various positive aspects of CHWs that facilitate their role in effective management of chronic diseases. Participants felt that CHWs generally do a good job. One caregiver in Teso noted that “They are good and do good service. . .” A traditional healer in Turbo stated that “. . .they approach people in a good way. They counsel people, especially those that have not come out until they accept to be tested. They are people (CHWs) that have sacrificed and they have skills”-Caregiver, Teso “Mostly the CHWs are good. They visit us at home and when they find a patient who has not gone for medical attention, they advise that person to be taken to the hospital. . .Since they have undergone training, they can easily identify signs of HIV. . .One is then diagnosed with either HIV or TB in the hospital” -Traditional healer, Chulaimbo. Some participants felt that the CHWs are good at maintaining confidentiality. One participant from Teso stated that the CHW PD98059 price supervisors ommunity Health Extension Workers?have never reported any ethical issues regarding confidentiality: “. . . .I get information from the Community Health Extension Workers but so far have not heard of a breach in confidentiality”Provider, Teso. “Yes, they are confidential. I have never heard anything from the ones who visit me”- TB patient, Chulaimbo. This was supported by another individual who noted: “They don’t carry information from one household to another” -TB patient, Chulaimbo In general, participants found value in SART.S23506 CHWs. A participant in Chulaimbo said: “I can talk about them because they usually visit me. Given my health condition. . . .they usually come and check my blood pressure and find out how I am doing”- TB patient, Chulaimbo. A religious leader described how their work and communication style is viewed by local communities: “the community appreciates their work. They have a good approach”-Religious leader, Chulaimbo. Barriers. Some participants felt that CHWs are a nuisance to community leaders: “There is a youth at our place who is a health worker and a drunkard. When he comes he says, `You see I have come to monitor your health, buy me a glass (several laughs). He wants j.jebo.2013.04.005 you to know that he is helping you yet he is on duty and is being paid.” -Caregiver, Turbo. Another participant stated: “. . . .they are selective of the homes they visit. . .they go where they can be given food; they can’t go to a home that does not offer morning tea. When they spot a banana in your homestead they will ask for it. . .once he tells you to use a condom, he starts eyeing the avocado tree (several laugh)” -TB patient (in FGD), Chulaimbo While some participants felt that CHWs do a good job with maintaining confidentiality, other participants felt that CHWs can sometimes compromise confidentiality which may inhibit their ability to effectively enable linkage to care and management of chronic diseases. This was expressed by community leaders and healthcare providers alike: “Some people may not be confidential because as I said, they are not equipped with knowledge on how to keep information and how to pass it” Provider, Chulaimbo. “They keep secret but not 100 because sometimes a person may be tes.Patient, Chulaimbo Finally, several participants in our study had never been in contact with a CHW and suggested that they are unknown in some areas: “I have never seen them” -TB patient, ChulaimboCHWs as an Enabling Resource to Management of HIV, HTN and TBFacilitators. Participants identified various positive aspects of CHWs that facilitate their role in effective management of chronic diseases. Participants felt that CHWs generally do a good job. One caregiver in Teso noted that “They are good and do good service. . .” A traditional healer in Turbo stated that “. . .they approach people in a good way. They counsel people, especially those that have not come out until they accept to be tested. They are people (CHWs) that have sacrificed and they have skills”-Caregiver, Teso “Mostly the CHWs are good. They visit us at home and when they find a patient who has not gone for medical attention, they advise that person to be taken to the hospital. . .Since they have undergone training, they can easily identify signs of HIV. . .One is then diagnosed with either HIV or TB in the hospital” -Traditional healer, Chulaimbo. Some participants felt that the CHWs are good at maintaining confidentiality. One participant from Teso stated that the CHW supervisors ommunity Health Extension Workers?have never reported any ethical issues regarding confidentiality: “. . . .I get information from the Community Health Extension Workers but so far have not heard of a breach in confidentiality”Provider, Teso. “Yes, they are confidential. I have never heard anything from the ones who visit me”- TB patient, Chulaimbo. This was supported by another individual who noted: “They don’t carry information from one household to another” -TB patient, Chulaimbo In general, participants found value in SART.S23506 CHWs. A participant in Chulaimbo said: “I can talk about them because they usually visit me. Given my health condition. . . .they usually come and check my blood pressure and find out how I am doing”- TB patient, Chulaimbo. A religious leader described how their work and communication style is viewed by local communities: “the community appreciates their work. They have a good approach”-Religious leader, Chulaimbo. Barriers. Some participants felt that CHWs are a nuisance to community leaders: “There is a youth at our place who is a health worker and a drunkard. When he comes he says, `You see I have come to monitor your health, buy me a glass (several laughs). He wants j.jebo.2013.04.005 you to know that he is helping you yet he is on duty and is being paid.” -Caregiver, Turbo. Another participant stated: “. . . .they are selective of the homes they visit. . .they go where they can be given food; they can’t go to a home that does not offer morning tea. When they spot a banana in your homestead they will ask for it. . .once he tells you to use a condom, he starts eyeing the avocado tree (several laugh)” -TB patient (in FGD), Chulaimbo While some participants felt that CHWs do a good job with maintaining confidentiality, other participants felt that CHWs can sometimes compromise confidentiality which may inhibit their ability to effectively enable linkage to care and management of chronic diseases. This was expressed by community leaders and healthcare providers alike: “Some people may not be confidential because as I said, they are not equipped with knowledge on how to keep information and how to pass it” Provider, Chulaimbo. “They keep secret but not 100 because sometimes a person may be tes.