Sierra Leone Community Health Workers Assessment and Evaluation



Global Fund



project image


JSI’s assessment of the Sierra Leone National Community Health Workers (CHW) program seeks to provide the Ministry of Health and Sanitation (MoHS) and development partners’ with a better understanding on the cost of the program, data management, and strategic direction.

The Sierra Leone National Community Health Workers Program is in its second year of implementation since the launch of the National Policy and completion of training in 2017. Approximately 14,500 CHWs were trained and deployed to deliver health interventions in communities across the country. However, the experience since then has revealed inconsistencies in the numbers of CHWs, frequency and quality of reports generated by CHWs, total and related component costs, and fragmentation of CHWs within the MoHS (i.e., national CHWs).

Assessment and Evaluation
Findings from the assessment will provide strategic direction to the National CHW Program by enhancing review of the National CHW Policy, revealing evidence for integration of the different CHWs within the MoHS, providing adequate information on the total and component costs of the national program, and strengthening reporting structures and processes that validates data generated by CHWs and uploaded into the DHIS2.

JSI’s scope of work for the six-month long project includes working with the MoHS and key stakeholders to develop a workplan, conduct cost-efficiency analysis, evaluate high-level reporting processes and CHW service quality processes, provide updates to partners, and assess how the findings should inform the program, policy, and research opportunities in the future.

JSI brings its expertise of conducting evaluations to assess the effectiveness of health service delivery models and integrate continuous learning into program strategy.

This initiative is funded by the Global Fund to Fight AIDS, TB, and Malaria, and is implemented by JSI.

Partner with Us

We strive to build lasting relationships to produce better health outcomes for all.