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Table 5 Training of CHWs

From: How should community health workers in fragile contexts be supported: qualitative evidence from Sierra Leone, Liberia and Democratic Republic of Congo


Sierra Leone



Initial training

Standardised package that includes three modules:

(1) Community health basics (e.g. communication, community entry, household registration, surveillance, health education, preventive care for children, identification of pregnant women); (2). Integrated community case management “plus” (e.g. assessment, referral, treatment and counselling, follow-up care for sick child or child with malnutrition; assess and treat adults with malaria; (3). Reproductive, maternal, newborn and child health (e.g. RMNCH continuum of care, family spacing, pregnancy visits, newborn visits, child visits).

6-8 days training for each module, face to face, with additional 1-2 days practical.

No record of training evaluation.

Integrated and standardised training package includes modules on promotive, preventive and curative services, logistics, monitoring and surveillance. Each module is a month long with a 1-week face to face training delivered alongside implementation of services/practical experience.

They must pass proficiency tests and supervision to progress to the next training module and function as a CHW.

No record of training evaluation.

Site CHWs: 7 days’ training on treatment of common illnesses of children in the community such as simple malaria, diarrhoea, acute respiratory infections, and malnutrition.

Promotion CHWs: 7 days training on health education and communication.

Disease-programme CHWs: receive training specific to the programme.

No description of mode of training or evaluation.


Annual refresher training—no details in policy.

Twice a year training based on findings from supervision visits, and training needs assessments.

CHWs should receive refresher training, but no mention of frequency, duration or content.