Some programs train CHWs to provide care and support for people living with HIV/AIDS. Simple checklists and guidelines help CHWs identify sexually transmitted infections, malnutrition, complications during pregnancy, and early childhood illnesses, allowing them to counsel and refer the client to the proper facilities if necessary. Pathfinder CHWs, with a few exceptions, work entirely as volunteers. The majority of them are women, selected because of their respect in the community and their leadership abilities. But for the most part they have the same financial concerns as their neighbors. Though many struggle to make ends meet, they take time away from caring for their own families, working.