TABLE 1.

Pilot CHW Program Design in Relation to WHO Guidelines

WHO Recommended CHWProgram Attributes⁴	CHW Pilot Program Descriptive Characteristics	Program Alignment WithWHO Recommendations
Selection	CHWs: Have minimum education requirement of 10th level Locally selected women who live in the community they serve	✓
Training	Includes both preservice and continuous training Training combines theory and practice based in community	✓
Certification	Formal program certification is currently in process, pending government approval	–
Supportive supervision	Supervisors conduct: Regular in-person supervision including observation in community Dedicated supervision, data-driven feedback, and performance review	✓
Incentives	CHWs are salaried, full-time employees, at a rate competitive to local market conditions, paired with additional non-financial incentives	✓
Career ladder	Pending further government certification/approval	–
CHW: population ratio	Ratio is based upon epidemiology, geography, topography, security, andworkload/expected responsibilities	✓
Data collection/utilization	CHWs collect data via mHealth platform, use in monitoring and review with supervisors, use in service delivery improvements	✓
Community integration	CHWs mobilize resources and promote health and social needs	✓
Supply chain	CHWs have reliable and consistent supply of medicines and supplies closely linked to local primary health centers	✓