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Throughout the three areas, CHWs contributed roughly four hours of volunteer work per day (range 0-12 hrs/day), which translated to 127 684 RWF per 12 months (range 2 359-2 247 807 RWF/yr) in lost personal earnings. CHW out-of-pocket expenses (example. patient transport) had been projected at 36 228 RWF per 12 months (range 3 600-364 800 RWF/yr). Individuals identified many benefits to being CHWs, including no-cost health training, enhanced social status, therefore the satisfaction of assi