In multiple programs which D-tree International supports with partners, CHWs use digital tools to guide them through a visit with a client. Using logic, the mobile app provides a user friendly dialogue which is tailored to the needs of the client and supports the CHW to provide appropriate advice, accurate diagnoses and timely referrals. At the end of each visit, the CHW schedules a date for a follow up visit which varies in length based on the outcome of the visit.
In many programs, CHWs receive a small stipend (approximately USD 10-15 per month) for their services.
To fully support CHWs, we use this data in several ways. First, CHWs can view their monthly activity and calculated stipend on their device through a web tab which is updated in real time.
CHW supervisors can view performance data for all of their CHWs at any time and use this information to provide performance-based feedback during supervisory phone calls and in-person meetings. Supervisors can easily identify CHWs who are not on track to meet their targets and follow up to provide additional support. Conversely, supervisors can congratulate those who achieve their targets and provide ongoing encouragement.
The program dashboard also contains CHW activity tracking and pay for performance tables which allow program managers and the Ministry of Health to monitor activity. At the aggregate level, one can easily track overall performance over time to monitor trends.
At the individual level, one can review CHW performance each month and track stipends to be sent out. Mobile money APIs make it possible to automatically send CHW stipends - based on the pay for performance calculations - each month.