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Table 1 Definition of integration status

From: Integrating national community-based health worker programmes into health systems: a systematic review identifying lessons learned from low-and middle-income countries

 

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