Table 3

PMTCT lay health worker organisation by model

	Parent NGOs	Eligibility to be a CFL provider*	Community involvement	Sex	HIV status and disclosure	PMTCT cascade requirement	Recruitment process	Training provided†	Paid or volunteer*‡	Job enablers
Tingathe-CHWs	Baylor Tingathe Programme	All required to have 2–4 years of secondary school and qualifying exams	Required to live within the communities	Male and female	No HIV status requirement	N/A	Advert and interview process	Six-week training plus quarterly follow-up training	83.3% are considered employees, but not all of those employees are paid; average monthly salary is ~US$120.	Some but not all receive a uniform, bicycle and airtime.
Expert Clients	Various: mothers2mothers; Lighthouse; Partners in Hope—Project Equip; EGPAF; some volunteers through MOH	Some said no education requirement; others said 2 years of secondary school and exam is required	No requirement, but usually from the areas around the facility	Male and female	All are HIV positive and are open to discussing their status	No known requirement	Differs by organisation—some recruit from within facilities or communities	Typically 2-week training but can vary	50% are considered formally employed are paid; average monthly salary is ~US$60.	Some but not all receive a uniform, bicycle, food pack and airtime.
Mentor Mothers	mothers2mothers	All required to have 2–4 years of secondary school and exams	No requirement, but usually from the areas around the facility	Female	All are HIV positive and have disclosed to at least one person	Completed PMTCT cascade	Advert and interview process	Two-week intensive workshop+3 months mentorship programme	All are paid employees of mothers2mothers; average monthly salary is ~US$50.	Uniform, airtime, sugar and tea.

*In Malawi, the Junior Certificate of Education is the examination taken mid-way through secondary school (after 2 years of secondary school); and the Malawi School Certificate of Education is the final examination at secondary school level in Malawi (after 4 years of secondary school).
†All models reported receiving formal introductory training before starting CFL activities (n=23) and all receive training on the national HIV guidelines (n=23)
‡Employee was defined as receiving a salary at regular intervals and salaries are calculated based on the averages reported in Malawi Kwacha.
CFL, community-facility linkage; CHW, community health worker; MOH, Ministry of Health; N/A, not available; NGO, non-governmental organisation; PMTCT, prevention of mother-to-child transmission.