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Operationalized indicators: Integrating community health worker and client views to assess community health systems

This guide is intended for policy makers, program managers, and implementers to use in meaningfully integrating community health worker (CHW) and community perspectives when assessing community health system performance and tracking improvements over time. It complements the portfolio of existing global measurement tools that inform country community health monitoring and evaluation frameworks and support localized decision-making. The guide recommends considering application and integration of a brief and full sets of indicators. The brief set includes 20 indicators (13 at CHW level and 7 at community member/client level) while the longer set includes 30 indicators (19 at CHW level, 11 at community member/client level). The guide recommends mapping out potential modes and timing of data collection (existing and new) for integration, advocating for additions to the national monitoring and evaluation strategies, minimizing biases in data collection through a “neutral third party,” gathering qualitative data in complement, and sharing implementation experiences.