Table 2 Target skills, training, supervision and fidelity checks for counselors and family planning nurses, by intervention arm
Skills | Training Strategy | Hours | Supervision & Fidelity | |
|---|---|---|---|---|
SCC1: Study team-led implementation model | − Building rapport | − Exploration of counselors’ beliefs and attitudes | 16 | − Supervision ▪ Semimonthly individual and group; ▪ Role-plays |
− Exploring readiness ▪ Using open question ▪ Using reflective listening ▪ Offering information | ||||
− Didactic review of manual | ||||
− Videos / live demos | − Sessions recorded for coding & tailored feedback | |||
− Role plays ▪ Communication skills ▪ Intervention sessions ▪ Teaching use of tools | ||||
− Session checklists ▪ Counselor completes ▪ Supervisor provides tailored feedback on coverage of content and MI skills | ||||
− Assessing health factors | ||||
− Assisting w/ ▪ disclosure ▪ family planning decision | ||||
− Personalized feedback: MI skills & content mastery | ||||
− Identification of implementation barriers and solutions | ||||
− Confidence providing SCC | ||||
− 95% of text messages sent on time | ||||
− Teaching SCM and use of tools | − Hands-on text training | |||
− Problem solving strategies | ||||
− Using text message system | ||||
SCC2: MoH-led implementation model | − Knowledge of SCM | − Lecture on benefit of SCC and history of stigma | 8 | − Supervision on request |
− Confidence providing SCC | ||||
− Read manual sections Answer provider questions | − Quarterly MoH support visits | |||
− Familiar w/ manual and tools | ||||
− Yearly training update | ||||
− Videos / live demos | ||||
− Practice tools |