Table 4.

CERQual summary of findings

Outcome	CERQual assessment of confidence in the evidence	Explanation of CERQual assessment	Number of studies contributing to the review finding
Perceived barriers to and facilitators of	Moderate confidence	Majority of the studies were consistent in reporting barriers to and facilitators of CHWs’ effectiveness based on the lived experience of CHWs. Minor concerns were attributed to small sample size influences generalisability to SSA. This may be due to our review limitation.	9
Different levels of determinants of of CHWs	Low confidence	Significant concerns were raised regarding the generalisability of study findings due to methodological limitations, such as limited/ absence of multilevel analysis of determinant of CHWs’ effectiveness based on the lived experience of CHWs. Other concerns were about the research design (lack of multilevel analysis).	9

CERQual, Confidence in the Evidence from Reviews of Qualitative research; CHW, community health worker; SSA, sub-Saharan Africa.