the lack of legitimacy granted to community health workers by degreed health professionals is another barrier to the expanded use of these individuals. Concerns about the quality of care provided can stymie the development of community health worker programs. Furthermore, the dominant paradigm of professionalism in health care delivery.
the lack of secure funding and dependence on multiple sources pose a continuous threat to community health worker programs and hinder their ability to conduct rigorous evaluations. Until their value in other settings has been demonstrated, these programs will largely remain a province of explicit missions to serve such populations.