Table 4 Written test sections/questions requiring additional review (the full question text can be found in Additional file 1)
Country | Section/question | Rationale for review | Suggestions |
|---|---|---|---|
Both | Comprehension | CHWs using own knowledge/experience to answer questions | Keep as is; the instructions are to use the passage to answer the questions Use a scenario about a topic no respondents would have knowledge or experience of (although this may make the scenario seem less relevant) |
Both | Situational judgement | Respondents need clarity as to whether the question is asking would or should | Use either would or should for all questions in this section |
Malawi | Q2 | Poor discrimination—may be too complicated for CHWs | Make slightly easier |
Malawi | Q8 | Low facility and confusing as double negative | Revise to make clearer |
Malawi | Q10 | Poor discrimination—CHWs struggled to know that patients should be prioritised over training | Discuss whether the “alternative” should be clearly of lower priority to attending to a sick child |
Ghana | Q10 | Poor facility and not required in CHW role | Make easier—use a calculation CHWs are required to do regularly on-the-job |