Definition
Poor Quality of Care: CHWs don't take very good care of patients e.g. shouting at them anyhow, not explaining the purpose for medication clearly.
Not helpful: For example, CHWs not supportive, not accommodating and generally not paying attention to patients.
Treatment too expensive: Cost of curing illness too high. This is in a situation where CHWs charge for treatment.
Difficult to access CHWs: CHWs are not usually found or they live in faraway places or they are not just easily approachable.