Authors: Jane M. Kelly et al.
This report summarizes the CHW evaluations conducted in 1998, 1999 and 2001. It also characterizes community health worker (CHW) performance using an algorithm for managing common childhood illnesses in Siaya District, Kenya. Results showed deficiencies were found in the management of sick children by CHWs, although care was not consistently poor. Key reasons for the deficiencies appear to be guideline complexity and inadequate clinical supervision; other possible causes are discussed.