This article aims to deconstruct the official categorization of community health actors (CHA), defined by the World Health Organization (WHO) and implemented by Senegalese health authorities. This name presumes the homogeneity of the group of CHA, whereas the sharing of a social identity is not constructed a priori but a posteriori, during collective interactions within the social division of health work. In practice, ASC are differentiated between a segment integrated into the hospital system which claims its technicality and another, more immersed by its action in the local population, which highlights its versatility. They can struggle together at the borders to make their group exist as a professional entity, sometimes against the subordinate role to which they are assigned by the local authorities, sometimes against attempts at interference by seasonal trainees, situated lower down in the socio-professional hierarchy.
- community health actors