Powerful actions, silent struggles: a photovoice study on mental wellbeing of community health workers in Nairobi and Kiambu counties

Community Health Workers (CHWs), locally known as Community Health Promoters (CHPs), are essential frontline providers of primary healthcare in underserved and low-resource settings. They are a vital link between the community and the community health system. Despite operating under high workloads and performing their tasks with minimal support as volunteers, their agency is seen in how they take ownership of their work and contribute to Community health. We employed the Photovoice approach to explore factors infl uencing CHPs’ mental well-being in Kenya.