Skip to main content

Table. 4 Consequences of standardized and tailored approaches to CHW programming

From: Community health workers at the dawn of a new era: 1. Introduction: tensions confronting large-scale CHW programmes

Standardized Tailored
Simple, neat, comprehensible
Easy to monitor and report on
Fits a top-down, technocratic mindset
Easy for planners
There may be more consistency on important technical aspects
Less likely to be appropriately responsive to the situation on the ground
Empowers local managers/decision-makers
Likely to be a better fit with actual needs
More scope to adapt to context based on observed performance and changing circumstances
Fits with devolved, decentralized systems for governing CHW programmes [20]
Uncomfortable for global- and national-level planners, policy-makers, donors