Table 1 MNCH CHW program implementation strategy

Program design

• Needs assessment

• Results dissemination: dissemination of needs assessment findings to key regional/district staff

Program rollout

• Regional advocacy meetings: 1–2-day meetings to explain the program and cover expectations among regional/district staff

• Community-based advocacy to inform village leadership on what is needed and criteria, program objectives, and support required (expectations)

Capacity building

• Training of trainers, final pretest, and package review: 21-day training for approximately 25 people, including 5 trainers, 5 district representative, MOHSW, and Jhpiego personnel

• Supervisor training: 14 days per batch, including 1–2 providers per facility, MOHSW, and Jhpiego staff

• CHW training: 2–4 CHWs per village, 21 days of training according to National MNCH CHW guidelines

Implementation monitoring and support

• Community HMIS system established

• Quarterly facility supervision: 1 day per health center/dispensary, supervision carried out by Jhpiego staff (1–2), regional and district MOHSW to support service delivery at health centers

• Community supervision: 1 day per health center/dispensary overseeing 2 villages of CHWs; supervision carried out

  o Quarterly by regional and district MOHSW and Jhpiego staff (1–2)

  o Monthly by routine facility-based supervisors