Given the selection criteria and the context within which CHWs are expected to work my thought is that pre-service training need to be general covering foundation competencies that can be agreed by consensus at country level. I further propose that in-service training can then focus on priority and common conditions that are encountered. In an earlier submission I had for example mentioned conditions of older persons whose design should include a shift from facility based to home and community based.
HIFA profile: Stephen Okeyo is the Dean at Great Lakes University of Kisumu-Tropical Institute of Community Health and Development (TICH) in Kenya. Professional interests: Reproductive Health; Public/Community Health (community based approaches); Health Policy and Systems; Quality of care; Academic Management and Leadership; Research Email address: okeyo2012 AT gmail.com