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Table 1 Summaries of CHW programmes for which selection processes were developed

From: Case study of a method of development of a selection process for community health workers in sub-Saharan Africa

  Neno, Malawi (Partners In Health, PIH) Ellembelle, Ghana (Ghana Health Service)
Location Rural – south-west of Malawi on the border with Mozambique Rural – Western Region of Ghana
CHW programme implementors PIH, a US-based non-governmental organisation, working with the Ministry of Health in Neno Youth Employment Agency and District Health Directorate according to the Ghanaian CHW Roadmap document [30]
Number of CHWs Currently being increased from 1 050 to 1 200 by 2019 Currently being increased from 95 to a target of 1 000 by 2026
Payments to CHWs Monthly stipend Monthly salary
CHW tasks Integrated “household model” [31] Timely case-finding Linkage to care On-going support and accompaniment of patients in care and tracking missed visits Health education Health education—malaria Detection and management—malnutrition Home visits—family planning First aid for household emergencies Community education—injury prevention Detection of danger signs in children and early referral
Average education level of CHWs 5–6 years of primary education High school leavers
Current selection process Community meeting Community nomination Literacy test Community recruitment and local ownership Call for submission of applications Nomination by a chief, queen mother, Member of Parliament or other prominent community member Interview by community leaders
Selection criteria Resides in village or community, known and trusted community member with approval from community, literacy in Chichewa and able to read and complete data forms and health messaging, able to commit 20 h per week, good communication skills for relaying health education, able to travel long distances on foot, ability to relate to and support community members. Resides in community or lives close by, speaks English and the local language fluently, free from any criminal and behavioural records, endorsed by the community for responsible and respectable behaviour and educated to at least Junior High School level (including ability to read and write).