
Figure 1
Assessment blueprint.
Table 1
Standards by item importance and difficulty (/10).
| Very important | Important | Nice-to-Know | |
|---|---|---|---|
| Easy | 8.0 | 6.5 | 4.6 |
| Moderate | 5.6 | 4.6 | 2.6 |
| Challenging | 3.5 | 2.8 | 1.2 |
| Minimally competent | Ideal |
| Has to refer back to their notes | Consistent knowledge base |
| Only confident in knowledge of one disease area | Breadth of knowledge |
| Cannot transfer knowledge to a new situation/ | Adapts to change and new situations |
| Repeats word-for-word from notes | |
| Makes preventable errors in documentation | Thorough |
| May not ask for help if unsure | Knows when and how to get help |
| Learns quickly |

Figure 2
Relationship between standards set and item performance; Legend: The green diagonal line shows where the mean cohort score is 10 percentage points higher than the standard set and the red diagonal line 30 percentage points.

Figure 3
Histogram of CHWs’ scores; Legend: Red line (14/30) – boundary between clear fail and borderline fail; Yellow line (16/30) – boundary between borderline fail and borderline pass; Green line (19/30) – boundary between borderline pass and clear pass. The lines are not equally spaced as they have been rounded to the nearest whole number.
| CHW | Community Health Worker |
| SEM | Standard error of measurement |
