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Table 2 Comparison of supervision, compensation, and quotas in community TB referral programs

From: Community referral for presumptive TB in Nigeria: a comparison of four models of active case finding

Type of model

Supervision of CWs

Other role of CWs apart from referral

Monetary compensation

Regularity of compensation

Quotas

Record keeping of referrals

Direct dealing

Monthly meeting with TB Local Government Supervisor (TBLS), No field supervision

Optional

$10 quarterly

Not regular

No set quotas

Good

Supervision without quotas

Quarterly meeting with the CBO

Optional

$ 40 quarterly

Fairly regular

No set quotas, however compensation could be suspended if no referrals for 3 consecutive months

Very keen on record keeping

Irregular field supervision

Comprehensive quotas-oriented

Monthly meeting with the CBO.

Also serve as treatment supporter for any TB case arising from their referral and also track patient lost to follow up

$ 80 quarterly

Fairly regular

Five presumptive TB referrals every month and 1 TB case

Good record keeping

Regular field supervision

unsupervised volunteer

Irregular meetings

Never

Not fixed, any amount between $13.3 and $20 quarterly

Never regular

No quotas

Very poor,

No field supervision of CWs

  1. Note: 150 Naira to $1 used for conversion of Nigerian Naira to US dollars
  2. NB: The CWs of the quotas oriented model do not get compensation for a referred case or TB case detected but only get compensation per time period just like CWs of other model