Table 10 Implementation outcomes

HCs receiving cascade training

42 of 51 sites completed cascade training

PTs trained

48 of 51 invited completed PT training

LHWs completing cascade training

152 LHWs completed cascade training during initial training period

169^a LHWs completed cascade training by study end

Training adherence

Adherence to training content and process including frequency and duration of training varied significantly

HCs using intervention at study end

All HCs with trained LHWs reported continued routine use of the intervention at study end

Trained LHWs at HC at study end

157 trained LHWs remaining on site

• 8 transferred out (two to other intervention sites)

• 2 left to return to school

• 1 left for a new job

• 1 died