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Table 7 CERQual Summary of Qualitative Findings table—Example B

From: Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 2: how to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table

Objective: To identify, appraise and synthesise qualitative research evidence on the barriers and facilitators to the implementation of lay health worker programmes for maternal and child health

Perspective: Experiences and attitudes of stakeholders about lay health worker programmes in any country

Included programmes: Programmes that were delivered in a primary or community healthcare setting; that intend to improve maternal or child health; and that had used any type of lay health worker, including community health workers, village health workers, birth attendants, peer counsellors, nutrition workers and home visitors

Summary of review finding

Studies contributing to the review finding

CERQual assessment of confidence in the evidence

Explanation of CERQual assessment

1. While regular salaries were not part of many programmes, other monetary and non-monetary incentives, including payment to cover out-of-pocket expenses and ‘work tools’ such as bicycles, uniforms or identity badges, were greatly appreciated by lay health workers.

2, 5, 11, 12, 22, 29


Minor concerns regarding methodological limitations, relevance, coherence and adequacy.

2. Some unsalaried lay health workers expressed a strong wish for regular payment.

5, 13


Moderate concerns regarding relevance and serious concerns regarding adequacy of data.

3. Lay health workers, particularly those working in urban settings, reported difficulties maintaining personal safety when working in dangerous settings or at night.

3, 15, 16, 25, 31


Moderate methodological limitations and moderate concerns regarding adequacy of data.

  1. Review findings taken from [14] and adapted to fit the context of this article. The review findings presented here are drawn from the wider thematic synthesis undertaken for this review. The themes identified were summarised into evidence statements, as illustrated in this table. The methods are described in more detail in [14]