Table 5.

Construct validity: supporting quotations

	Haiti	Kenya
Trust in CHWs	“CHWs are very trusted…We are guaranteed help – if we have problems, we can call them to speak. In addition, most of them have something called professional secret (confidentiality)… CHWs are trained people… People are comfortable with their CHW.” (Women, Haiti)	“By the way they tell us, listen and are willing to help despite their inability to not help. They offer solutions to most of our concerns. Sometimes it is better for someone to give you advice that will help in the long run than give you food that helps only at a particular moment.” (Women, Kenya)
Health care competence	“I trust [CHWs] because they know what they are doing; they are trained to do it... For instance, if someone feels sick around about 2AM and we have an agent’s number, they can guide us on what we can do for the person in the meantime.” (Women, Haiti)	“She is like a community doctor that is why we trust her.” (Women, Kenya)
	“We can trust them [CHWs] by telling them anything…and [they] do not speak a word of it.” (Women, Haiti)	“I will trust her because for example if I have a problem that I cannot tell anyone else, I will go to her and tell her; she can keep it confidential and she can attend to me well…she can get the medicine for me secretly and people will not know.” (Women, Kenya)
Respectful communication	“[The CHW] is always available and willing to listen to people’s problems. This means when you are explaining a problem, they take time to listen and give you the advice you need.” (Men, Haiti)	“I normally feel they are not biased.” (Women, Kenya)
		“She [CHW] becomes concerned and follows up even after I have gone to the hospital. She will talk and explain to me stuff as she passes by.” (Women, Kenya)

CHW – community health worker