How to Verify Community Health Worker Visits and Protect Your Performance-Based Funding
Who This Is For
You manage a CHW network funded under a performance-based financing mechanism — meaning your disbursements are tied directly to verified visit counts. Right now your verification process is spot-checks covering maybe 10% of claims. A funder has queried visit data before. A clawback happened, or nearly happened. You know the current approach isn't defensible at scale.
The Problem
Spot-checking 10% of CHW visit claims isn't a verification methodology — it's a sampling approach that, by design, can't tell you anything with confidence about the other 90%. When a funder starts asking hard questions about visit validity, "we sample 10% and extrapolate" is not the answer they're looking for. PBF funders increasingly expect evidence for every visit, not a statistical confidence interval. The incentive problem is predictable and well-documented: a CHW paid per verified visit, with supervisors present for maybe one visit in ten, is operating in a system with insufficient controls for the financial incentive it creates. This isn't a character judgment. It's a structural reality. The solution isn't deploying more supervisors — the geography usually makes that impossible. The solution is evidence captured at the point of the visit itself, before the claim is submitted.
What You Can Achieve
- Every household visit is backed by mandatory photo evidence, GPS coordinates, and structured visit notes — captured at the location, at the time of the visit
- PBF payment claims are supported by a complete, exportable record for every single visit — not a spot-check sample with a statistical adjustment
- Funders who've questioned visit validity before get unambiguous evidence to review at payment verification — photos, GPS, timestamps, per-CHW
- CHWs who record visits that didn't happen create visible gaps: GPS inconsistencies, missing on-site photos, anomalous submission times — all flaggable before the payment cycle
- Monthly audit exports for PBF payment cycles come directly out of Hakiki, not from a manual compilation exercise across paper registers
- Supervisor review shifts from paperwork checking to evidence-based sampling — focused on the records that show anomalies, not a random 10%
The Hakiki Workflow
- 1Client Name & Household ID Text
Enter client full name and household registration ID from the program register
- 2Visit Type Single Select
Select: ANC / Postnatal / Child Growth Monitoring / General Health / Nutrition / Referral Follow-up
- 3Client Photo at Household File Upload
Photo of CHW with client at the household — taken at the time of the visit. MANDATORY
- 4Nutritional Screening Completed Boolean
Confirm MUAC screening or nutritional assessment was completed during this visit
- 5Referral Issued Boolean
Record whether a referral to a health facility was issued during this visit
- 6Referral Letter Upload File Upload
Upload photo of issued referral letter — required if previous step is YES
- 7Household Exterior Photo File Upload
Photo of the household exterior — corroborates GPS location and confirms physical presence
- 8GPS Location Text
Paste GPS coordinates from phone at the time of the visit — timestamped and cross-referenced with photo
HAKIKI Features Used
See Hakiki in action
Build your first auditable workflow in minutes — no credit card required.
Get Started Free