Costs categories included those of IPTc drugs, training of health personnel and CBVs, health personnel staff time, utilities (such as any water, gas, electricity and telephone bills), supplies, transport supervision and incentives.
Costs for personnel, transport, supervision, trainings, fuel for cold chain, electricity and maintenance were obtained from interviews, questionnaires, direct surface measurement of buildings and exploitation of documents (administrative and financial reports, log books), both at health facilities and district administration level.
They should agree to work together to understand the real costs of the various components (transport, education, supervision, management etc). in different geographical areas and how these activities could be carried out in the most cost-effective manner.
In terms of programme costs included, all but six studies [ 12, 13, 17, 22, 25, 26] clearly included the value of the CHWs' time spent (either compensated or, for volunteers, opportunity cost or shadow price) and recurrent expenses such as materials, supplies, transport and supervision, although the individual unit quantities and costs were rarely reported.
The absence of a direct association in physical activity is coherent with our qualitative work in which parents reported that they rarely engaged in physical activity with their child, spending more time arranging transport and supervision for their child's physical activity [ 25, 26].
Recurrent costs components included: vaccines, consumables, management tools, personnel, transport, maintenance, supervision, trainings, social mobilization, fuel for cold chain materials functioning and electricity bills: Vaccines costs were calculated by multiplying the cost per dose of MCV by the number of doses used.
All countries agreed that the provision of additional means of transport would enhance supervision and thereby strengthen program implementation.
Effective CHW case management has been linked to the level of training, transport means, adequate supervision, access to medicines and educational tools, and sufficient incentives [ 7– 11].
Continuous training, transport means, adequate supervision and motivation of CHWs through the introduction of financial incentives and remuneration are among key factors to improve the work of CHWs in rural communities.
These studies showed that continuous training, transport means, adequate supervision, and motivation of community health workers through the introduction of financial incentives are among the key factors to improve the work of community health workers.
Not everyone can afford transport teams and personal supervision.
