Table 5.

Training of CHWs

	Sierra Leone	Liberia	DRC
Initial training	Standardised package that includes three modules: (1) Community health basics (e.g. communication, community entry, household registration, surveillance, health education, preventive care for children, identification of pregnant women); (2). Integrated community case management “plus” (e.g. assessment, referral, treatment and counselling, follow-up care for sick child or child with malnutrition; assess and treat adults with malaria; (3). Reproductive, maternal, newborn and child health (e.g. RMNCH continuum of care, family spacing, pregnancy visits, newborn visits, child visits). 6-8 days training for each module, face to face, with additional 1-2 days practical. No record of training evaluation.	Integrated and standardised training package includes modules on promotive, preventive and curative services, logistics, monitoring and surveillance. Each module is a month long with a 1-week face to face training delivered alongside implementation of services/practical experience. They must pass proficiency tests and supervision to progress to the next training module and function as a CHW. No record of training evaluation.	Site CHWs: 7 days’ training on treatment of common illnesses of children in the community such as simple malaria, diarrhoea, acute respiratory infections, and malnutrition. Promotion CHWs: 7 days training on health education and communication. Disease-programme CHWs: receive training specific to the programme. No description of mode of training or evaluation.
Refresher	Annual refresher training—no details in policy.	Twice a year training based on findings from supervision visits, and training needs assessments.	CHWs should receive refresher training, but no mention of frequency, duration or content.