Community Health Worker Assessment and Improvement Matrix (CHW AIM): A Toolkit for Improving Community Health Worker Programs and Services.

Tool for conducting assessment and improvement for community health worker practice

Crigler L, Hill K, Furth R, Bjerregaard D. - Published by the USAID Health Care Improvement - Project. Bethesda, MD: University Research Co., LLC (URC).

Publication details

Publication date: 2011


Intended users:

Program managers of community health worker programs.


The 146 page CHW Program Assessment and Improvement Matrix (CHW AIM) tool examines 15 programmatic components that CHW programs should consider as important to successfully supporting CHWs. These include: recruitment; the CHW role; initial training; continuing training; equipment and supplies; supervision; individual performance evaluation; incentives; community involvement; referral system; opportunity for advancement; documentation and information management; linkages to the health system; program performance evaluation: and community ownership.

Components are rated with a 4-point scale ranging from non-functional to highly functional. The tool includes lists of high impact, evidence-based interventions for MCH and HIV/TB services to guide assessment of which services the CHWs are currently performing.

The instrument can be applied in a stakeholder meeting to assess the current status of a specific program and determine if the program as a whole is functional. Health workers within that program are then considered to be functional. The tool also provides an action planning and resources guide to assist program managers in strengthening their community health worker programs.