What are some common ethical challenges CHWs may face?

• A. High salaries, long work hours, lack of cases, overqualification.
• B. Boundaries with clients, dual relationships, confidentiality issues, conflicts of interest; seek supervision.
• C. Equipment failures, weather delays, transportation allowances, diploma requirements.
• D. Political advocacy, policy making, legal action, investigative interviewing.

Answer: (B)

Ethical practice in CHW work centers on navigating relationships, confidentiality, and conflicts of interest while maintaining professional boundaries. CHWs often build close, trusting connections in communities, so staying within appropriate limits, avoiding dual roles that could cloud judgment, and protecting clients’ private information are everyday issues. Conflicts of interest can arise if personal gain or external pressures influence how care is provided, making it essential to seek supervision to guide decisions and align actions with professional standards and policies. Other options describe logistical or policy-related aspects of the job rather than the common ethical tensions CHWs face in client interactions, so they don’t capture the core challenges as accurately.