Table 3

Summary of findings from policy review

Sierra LeoneLiberiaDRC
CHW programmes
  • Rolled out nationwide

  • 15 000 CHWs trained to provide basic package of services at community level

  • CHAs trained to deliver a package of preventive, curative, rehabilitative and palliative services

  • CHAs are supervised by CHSS

  • Previous cadres of community health volunteers remained in operation and were supervised by CHAs

  • No overarching CHW programme

  • Three categories: site CHWs; promotional CHWs; disease programme

Selection and recruitmentWomen prioritised in selection process.Women prioritised in selection process. Literacy was a requirement for CHWsEqual opportunities for women and men in the CHW selection process
Literacy was a requirement for CHWs
RemunerationEach CHW should receive: 100 000 plus 50 000 to 80 000 Leones for transport and other logistics per month (equivalent of US$20–24)Each CHA should receive US$70 per month through a minimum of 4 hours work per dayFinancial compensation for work on specific programmes, attend training, or from sales of health products
  • CHA, Community Health Assistant; CHSS, Community Health Services Supervisors; CHW, community health worker; DRC, Democratic Republic of Congo.