TABLE 1.

Description of Qualitative and Quantitative Methods and Indicators Used in Honduras and Lao PDR Evaluations of Government-Owned Community Health Worker Networks

HondurasLao PDR
Primary outcomesHealth system and community member perspectives on CHW network performance and relevance while providing malaria-only services as malaria incidence declines, across departmentGovernmental and nongovernmental perspectives on CHW performance, contribution, and program design from central to community level
Quantitative data
Data sourcesDHIS2 surveillance data from January 2017 to December 2019, and operational data from Excel databases related to supervision, training, and network managementDHIS2 surveillance data from January 2018 to December 2019, and programmatic data stored via Google Sheets and Excel databases related to CHW demographics, network stocking, training, and reporting
Indicators or components included
  • Total cases captured by CHW network

  • Proportion of cases detected by CHWs

  • Test positivity rate (country and study site)

  • Total malaria tests collected across department

  • CHW pre/post-test training scores

  • Time between symptom onset and diagnosisa

  • CHW demographic information including average CHW length of service, sex, and age

  • Supervisor to CHW ratio by municipalitya

  • Total cases captured by CHW network

  • Proportion of cases detected by CHWs

  • Test positivity rate (country and CHWa)

  • Total malaria tests collected across country

  • CHW pre/post-test training scores

  • CHW demographic information including average CHW length of service, sex, age, and education

  • CHW reporting timeliness and completenessa

  • CHW average testing activitya

Qualitative data
Data sources40 stakeholder interviews and community focus groups, including in-depth interviews at ministry of health at central, regional, local levels (n=16); interviews with CHWs (n=19); focus groups with community members (n=39)34 interviews, including in-depth interviews at central National Malaria Program and partners (n=8), province (n=5), district (n=5), health center (n=6), and CHW level (n=10)
Indicators or components included6 elements of CHW systems included in questionnaire: (1) network management; (2) training; (3) supervision and supply chain; (4) reporting and network monitoring and evaluation; (5) health system linkage; (6) service provision and community participation10 elements of CHW systems included in questionnaire: (1) program objectives; (2) management, leadership and governance; (3) terms of reference; (4) training; (5) payment processes; (6) supply chain; (7) supervision and performance management; (8) information management; (9) health system linkage; (10) community engagement and utilization
  • Abbreviations: CHW, community health worker, DHIS, district health information system; PDR, People's Democratic Republic.

  • a Distinct indicators reviewed according to country-specific available programmatic and surveillance data.