Table 1 Key assessment areas
Identified assessment areas | Example evaluation questions | ||
|---|---|---|---|
Implementation moderators | CHW policy | Programme complexity | How have programme designers conceptualized the CHW model? How complex and comprehensive is the model? |
Programme comprehensiveness | |||
Support strategies | Training | What training did CHWs receive? | |
Management and supervision | How are CHWs been monitored and supervised on the ground? | ||
Quality of delivery | Adaptation | In what way has the CHW model been adapted by programme managers in response to local contexts? How relevant is the current CHW model to the local context? | |
Applicability | |||
CHW responsiveness | Recruitment of appropriate personnel | What were the CHW recruitment processes, and how effective were they at identifying appropriate community members as CHWs? | |
Clarity on task profile | |||
Remuneration and Motivation | What is the understanding of CHWs of their task profiles? | ||
What kind of remuneration do CHWs receive? | |||
Are CHWs adequately motivated and incentivized to effectively perform the tasks required of them? | |||
Implementation adherence | Coverage | CHW: Household ratio. Range of services provided | At what ratio of CHW: Household are CHWs functioning at? |
What services are actually been provided by CHWs? | |||
Frequency | Regularity of household contact | How frequently do CHWs visit their households? | |
Duration | Consistence of service delivery over time | How consistently do CHWs deliver their required services? How consistent has been the delivery of services over time? |