Appendix: Forms & Examples

Please find below all the downloadable forms and examples accompanying the PIH Model Community Health Worker section.

Recruitment

Profile of a successful accompagnateur at Inshuti Mu Buzima, Rwanda (32 KB .pdf)

Roles and Functions

Adherence Form (90.6 KB .pdf)

PACT Adherence Form (50.5 KB Word Doc)

Accompagnateurs curriculum section on Women and HIV/AIDS

Accompagnateurs curriculum section on Psychosocial Support and Effective Communication

Accompagnateurs curriculum section on Stigma and Discrimination

PACT Progress Report (57.5 KB Word Doc)

Addressing Basic Needs at Bo-Mphato Litsebeletsong tsa Bophelo, Lesotho (32.5 KB .pdf)

DOs and DON'Ts for Accompagnateurs at Inshuti Mu Buzima, Rwanda (35 KB .pdf)

Payment for Accompagnateurs at Zanmi Lasante, Haiti (27.5 KB .pdf)

Payment for Accompagnateurs at Inshuti Mu Buzima, Rwanda (29.5 KB .pdf)

Accompagnateurs curriculum

Supervision

Duties and Responsibilities for Accompagnateur Leaders at Inshuti Mu Buzima, Rwanda (40 KB .pdf)

Accompagnateur Leader Weekly Report at Inshuti Mu Buzima, Rwanda (36 KB .pdf)

Accompagnateur supervision at Zanmi Lasante, Haiti (55.5 KB .pdf)

Accompagnateur supervision at Inshuti Mu Buzima, Rwanda (40.5 KB .pdf)

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