Supportive supervision and constructive relationships with healthcare workers support CHW performance: Use of a qualitative framework to evaluate CHW programming in Uganda

Table 1 Sample of criteria for CHW effectiveness rating tool

Component	‘Poor’ performance	‘Mixed’ performance	‘Functional’ performance	‘Strong’ performance
Supportive supervision	Majority of CHW participants identify major issues with supervisor relationship.	CHW participants convey divided perception of supervisor relationship. More than a few issues identified.	Majority of CHW participants describe positive supervisor relationship; describe regular meetings, mentorship and respectful relationships. Few issues identified.	Almost all or all CHW participants describe strongly positive supervisor relationship; describe regular meetings, mentorship and respectful relationships; identify supervisor actions above and beyond expected (i.e., regular participation alongside CHWs during community education).