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Table 6 Checklist for acceptance and motivation of peer-volunteers (CHAMPs)

From: Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study

Area 1 Appropriate intervention Yes/no
1 Is the intervention perceived to be useful by the target population?  
2 Has the intervention been adapted for delivery by the PVs?  
3 Has the intervention been adapted for cultural relevance?  
4 Does the intervention allow flexibility of delivery (e.g., format, location)?  
Area 2 Appropriate peer selection  
5 Is there a sufficiently large pool of potential PVs willing to work?  
6 Are the PVs locally based?  
7 Are the PVs matched to the target population? (gender, age, socioeconomic status, language etc.)  
8 Do the PVs share life-experiences with the target population? (similar life events, psychosocial stresses, shared experience of illness or condition etc.)  
9 Do the PVs enjoy the trust and goodwill of the target population?  
Area 3 Appropriate links with local health system  
10 Is the PV programme supported by local health providers?  
11 Are local health providers involved in the identification, recruitment, training and embedding of PVs in the community?  
12 Are local health providers kept up-to-date with progress of the programme?  
Area 4 Appropriate training and supervision  
13 Is the training and supervision appropriate to the level of PVs qualifications and capacity?  
14 Do the trainers and supervisors possess good knowledge of local culture?  
15 Is supervision adequate to the individual needs of the PVs?  
16 Does supervision facilitate group and experiential learning?  
Area 5 Appropriate organisational support  
17 Is there an organisational structure in place to support the day-to-day work of the PV?  
18 Is the organisational structure responsive to new challenges? (e.g., emotional need, managing expectations of PVs and community)  
Area 6 Appropriate incentivisation  
19 Are PVs’ incentives matched to their expectations? [e.g., fixed monetary incentives (salary), other monetary incentives (travel, allowances), opportunities for personal development, appreciation from the community]  
20 Is the community approving of the PVs’ role?  
21 Are PVs’ own families supportive of their role?  
  1. This checklist is designed to help implementers assess if their peer-delivered programme takes into account factors that are likely to improve the community acceptance and motivation of peer-volunteers in their role. Any ‘No’ response should be discussed as a potential barrier to programme implementation