Table 1. Qualitative evaluation framework.

	Acceptability	Feasibility	Sustainability
(i) Political mobilization by Manicoré City	How Manicoré City accepted CHW refresher training.	How Manicoré City made a commitment to CHW refresher training.	Potential of Manicoré City to sustain their commitment to CHW refresher training.
(ii) Degree of community participation	The level of acceptance was demonstrated regarding CHWs’ performance.	The level of community participation demonstrated to contribute to CHW refresher training.	Potential of people within the community to sustain participation in CHW refresher training.
(iii) Degree of increased awareness of CHW performance	How CHWs and their performance were accepted by people within the community.	How people within the community understood and were aware of CHWs and their performance.	How people within the community can maintain their motivation to sustain their contribution to CHW refresher training.
(iv) Capacity to manage CHW refresher training	How Manicoré City and people within the community demonstrated a supportive attitude toward CHW refresher training.	How Manicoré City and people within the community performed in CHW refresher training.	Potential of Manicoré City and people within the community to sustain dealing with CHW refresher training.
(v) Partnerships established among Manicoré City, the state hospital and health centers, and CHWs	How they accepted establishment of partnerships among Manicore City, the state hospital, and health centers.	How they showed partnerships during CHW refresher training.	Potential for sustaining partnerships.