Comparison of CHW Training Methodology Interventions Used in a Cluster-Randomized Controlled Trial, Huánuco Region, Peru
| Interventions | Experimental Clusters | Control Clusters |
|---|---|---|
| Basic strengthening of primary health care services: orientation to community health strategies, interdisciplinary team building for health staff, self-assessment, and planning for community health actions | Yes | Yes |
| Basic strengthening of local government to support community MNCH, to gain their commitment to provide financial and incentive support to CHWs and CSs | Yes | Yes |
| Training of facilitators (health personnel trainers) on adult education methods | Yes | Yes |
| Provision of a complete set of 7 flip charts to each CHW and CS | Yes | Yes |
| Training of facilitators on use of facilitator manuals based on Sharing Histories as the CHW training method | Yes | No |
| Training of facilitators on use of facilitator manuals based on a standard CHW training method | No | Yes |
| Continuous monthly training of CHWs and CSs using Sharing Histories as the training method | Yes | No |
| Continuous monthly training of CHWs and CSs using a standard CHW training method | No | Yes |
| Monthly home visits conducted by CHWs, supported by CSs and health staff to educate mothers, monitor MNCH behaviors, identify danger signs, and refer to the health facility | Yes | Yes |
| Monthly supervision of CHWs by CSs | Yes | Yes |
Abbreviations: CHW, community health workers; CS, community supervisors; MNCH, maternal, neonatal, and child health.