Sozinho Ndima

TL;DR: The study found disconnections between the APE programme policy and its implementation, with gaps in skills, training and support of supervisors leading to sub-optimal supervision.

TL;DR: There is potential for integrating supportive group supervision models in CHW programmes and a combination of group with individual or peer supervision, preferably accompanied with methods that assess CHW performance and corresponding feedback systems, could yield improved motivation and performance.

TL;DR: Improved communication and feedback between involved stakeholders – especially strengthening the intermediate role of CHWs – and active community engagement will be key to stimulate better use of referral services and healthcare facilities.

TL;DR: The need to pay attention to the determinants of demand and supply of community interventions in health, to understand the opportunities and challenges of the difficult interface role played by APEs and to create communication among stakeholders in order to build a stronger, more effective and equitable community programme is highlighted.

TL;DR: It is found that evidence use is limited at all levels, in part due to a perceived lack of high-quality, relevant evidence, which can drive improved efficiency of financing and evidence-based policymaking.