Youth engagement in community health worker training programmes has gained increasing attention as a means to improve healthcare access and quality in underserved communities. This case study employed a mixed-methods approach, including structured interviews with participants (n=50) and focus group discussions (n=12). Data was analysed using thematic analysis for qualitative data and regression analysis for quantitative data. Youth show strong interest in becoming community health workers, with 85% indicating a willingness to participate. However, financial constraints are the most significant barrier to engagement, affecting over half of potential participants (54%). The study highlights the importance of addressing financial barriers and improving training content to enhance youth participation and effectiveness in healthcare delivery. Programme designers should prioritise cost-effective options for training and emphasise benefits beyond financial incentives to attract more youths. Community leaders play a crucial role in facilitating access to these programmes.