Table 1.

Definition of integration status

	Integration status
Selected health systems elements [24]	Full integration	Partial integration	Not integrated
Governance and leadership	Management and supervision of CBHWs is conducted by other health workers and institutions in the ministry of health	Management and supervision of CBHWs is not completely conducted by other health workers and institutions in the ministry of health. Private stakeholders such as NGOs are also involved	CBHWs do not receive any supervision from other health workers and institutions in the ministry of health
Financial resources	CBHWs are part of the civil service and are paid standardised monthly salaries by the government	CBHWs are not part of civil service, but receive standardised incentives from the government	CBHWs are not part of the civil and do not have standardised incentives from the government
Human resources	CBHWs receive standardised training from the ministry of health and are fully accepted as well as supported by other health workers	CBHWs receive standardised training from the ministry of health but are not fully accepted by some health workers	CBHWs do not receive any form of standardised training from the ministry of health and are not recognised by other health workers
Service delivery	CBHWs perform standardised tasks; stakeholders recognise, accept and utilise the services provided the CBHWs	CBHWs perform standardised tasks; but some stakeholders do not recognise, accept and utilise the services provided the CBHWs	CBHWs do not have standardised tasks and duties
Population	CBHWs are recruited from the community and are recognised and accepted by the community	CBHWs are recruited from the community but are discriminated or not accepted by part of the community	Not all CBHWs are recruited and work within their community and most community members do not recognise or accept CBHWs
Outcomes and Goals	CBHW services and duties are in line with the national primary health care system	CBHW services and duties are not in line with all of issues contained in the national primary health care system	CBHW duties and services are not developed based on the national primary health care system