Number of community health and para-social workers who successfully completed a pre-service training program

Export Indicator

Number of community health and para-social workers who successfully completed a pre-service training program
What it measures

CHSWs are an important part of overall HRH strategies in countries but may not be captured through more formal training institutions and, in the case of PEPFAR Phase II, not captured in the indicator for 140,000 new health workers. It is important to quantify CHSWs for planning, expansion and setting supervisory ratios.


Becoming a community health or para-social worker is often also an important first step to entering the heath workforce. In this way, supporting the development of CHSWs contributes to the pipeline for health workers.


Number of community health and para-social workers who successfully completed a pre-service training program




Not applicable

Method of measurement

The number is the sum of community health and para- social workers who successfully completed a pre-service training program within the reporting period with full or partial PEPFAR support. Individuals will not count as having successfully completed their training unless they meet the minimum requirements as defined by international or national standards. “Pre-service” training comprises training that equips CHSWs to provide services for the first time. Oftentimes, CHSWs are given pre-service training once they have been hired but before they begin providing services to the community – these individuals would count towards this indicator.

In the absence of international or national standards, the minimum requirement will be determined by the PEPFAR country team.

“Para-social workers” and social support workers (who would be counted under this indicator) as defined for the purposes of this indicator receive anything from a few days up to 6 months of training- and work under the supervision of a professional social worker, nurse or physician.

Professional social workers generally have 4-7 years of training, and have completed undergraduate and/or graduate training in social work and are nationally recognized as a professional social worker. These are professionals are NOT counted in this indicator, but should be counted under indicator #H2.1.D. 

Definition of PEPFAR Support:
PEPFAR support includes funding for full or partial support of a pre-service training activity, including course development, training materials, trainer salaries, training site rental or renovation, participant per diem and travel costs.

When unclear about the level of PEPFAR support, refer to the principles of the Direct definition. You will need to apply these principles to what you are counting.

Measurement frequency



Age group:

Condom type: N/A

Education: N/A

Gender: Male, Female

Geographic location: N/A

HIV status: N/A

Pregnancy status: N/A

Sector: N/A

Service Type: N/A

Target: N/A

Time period: N/A

Type of orphan: N/A

Type/Timing of testing: N/A

Vulnerability status: N/A

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

This indicator does not measure the quality of the training, nor does it measure the outcomes of the training in terms of the competencies of individuals trained, nor their job performance. This indicator does not measure the placement or retention in the health workforce of trained individuals.

Although training is an essential component of human resources for health, programs should plan it in the context of effective human resources management and an overall HRH strategy.

Further information