Community Health Worker Network Strengthening

Goal 1.1 Under-five mortality rate per 1,000 live births

National demographic and health surveys (e.g., DHS, MICS) or national vital registration systems

Baseline, endline (suggested)

Outcome 1.1 Proportion of women aged 15-49 in supported communities with a pregnancy ending in the 12 months before the survey who attended antenatal care at least once during that pregnancy

Outcome 1.2 Proportion of children under five years old in supported communities who have received a complete set of essential immunizations according to national guidelines

Household surveys conducted at baseline and endline, using a structured questionnaire administered to women aged 15-49 with a pregnancy that ended in the 12 months before the survey, asking about ANC visits during that pregnancy

Household surveys with vaccination card review and/or maternal recall at baseline and endline. Facility records can be used for triangulation

Baseline, endline

Baseline, endline

Outcome 2.1 Proportion of community health workers meeting performance standards on a structured supervision checklist

Routine supportive supervision visits using a structured CHW performance checklist; results aggregated quarterly from supervision records

Quarterly

Outcome 3.1 Proportion of individuals in supported communities who can correctly identify the primary health facility for seeking treatment for common ailments

Outcome 3.2 Proportion of caregivers reporting trust in community health workers as a first point of contact for child illness

Household surveys at baseline and endline, using a structured questionnaire asking about preferred or designated health-seeking points

Household survey at baseline and endline, with a structured trust and care-seeking module

Baseline, endline

Baseline, endline

Output 1.1 Number of household visits conducted by community health workers delivering the standardized community health service package

CHW activity registers and routine reporting tools, aggregated monthly

Monthly

Output 2.1 Number of essential medicines and health commodities procured and distributed

Output 2.2 Proportion of supported community health workers with no stock-out of tracer commodities at the most recent supervision visit

Procurement records, warehouse inventory logs, and distribution receipts will be reviewed periodically

Stock check during supervision visits using a standard commodity availability checklist

Quarterly (suggested)

Quarterly (suggested)

Output 3.1 Number of healthcare workers trained on essential primary healthcare services

Output 3.2 Number of community health workers credentialed against the national community health curriculum and deployed to assigned catchment areas

Training attendance registers and post-training assessment records will be collected from training facilitators at the end of each training session

Program HR records, certification lists, and deployment letters reviewed quarterly

Quarterly (suggested)

Quarterly

Output 4.1 Number of healthcare providers receiving mentorship or supportive supervision visits

Output 4.2 Proportion of supported community health workers who received at least one structured supportive supervision visit in the reporting quarter

Mentorship and supervision visit logs, signed by both the supervisor and the provider, will be collected on a quarterly basis

CHW supervision logs aggregated quarterly from supervising facilities

Quarterly

Quarterly

Output 5.1 Number of community health education sessions conducted on preventive primary healthcare practices

Output 5.2 Number of community health committees functional holding regular minuted meetings at least quarterly

Session facilitator reports and attendance sheets will be collected on a monthly basis

Review of meeting minutes and committee records during quarterly program visits

Monthly

Quarterly