External pressures from funders and internal pressure to improve can drive the need to change assessment methods and outcomes measures. One of the struggles from CHW programs that have multi-source funding is that each funder may request program and client information that differs from the other funders. This is a real challenge.

If you have chosen validated measures, it may be easier to negotiate not collecting additional information. It is likely easier to spend a few minutes trying to demonstrate to funders that the information you collect is valid and standardized than to change data collection procedures. Some benefits of retaining consistent measures include the ability to measure change over time, ability to compare client outcomes to other programs and sources (such as national survey data), and CHW familiarity with measurement to ensure reliable information.