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Stakeholder engagement is key
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Put together a persuasion strategy to have them [government] buy-in at the end of the day, into the intervention. And perhaps a presentation that would showing benefits, perhaps, then we would have convinced them to implement it at scale… (R3) It’s been a challenge to get the “X” city government to conceptually understand the objectives of the methodology…. it would be helpful if some background on the methodology was described clearly. (R4) There needs to be prep work on how to present the program to get buy-in. This includes videos, materials. Focus on the outcomes and then show the curriculum. The government needs to understand the essence of Reach Up and buy in on the methodology. (R5). [Adaptation manual] should include a community mobilization guide to understand the steps to entering into a partnership with government and community members. (R9) Engaging with the government and community stakeholders from the beginning is the key to buy-in and sustainability. This includes … a communication mobilization guide to understand the steps to entering into a partnership with government and community members. (R9)
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Changes/additions to the curricula
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Need longer introduction, defining objectives, etc. scientific support, information on development. (R3) It would be very helpful to have more information about the rationale behind the curriculum and the sequence of activities to show the developmental skills. (R6) I think it will be amazing if we can work with families with children at one month. Need curriculum for [sic] one month. (R12)
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Additional content in supporting manuals
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[Training manual] It would be great to see sessions on problem-solving – what to do in real life situations where children are not cooperating or engaged in activities. (R4) [Training manual] There should be a module on facilitation skills, including how to be dynamic and to motivate the mothers/caregivers. (R9) There should be a section of the training [manual] for supervisors/training of trainers to prepare to cascade the training. (R9) The training manual should include an overall understanding of ECD, including an overview of child development milestones. (R10) [Supervisor Guidelines] Need to include some assessment forms. For example, use some aspects of the early development assessment tool and include skills that the home visitors need to have, like some teaching, communication and feedback skills. (R11) [Supervisor Guidelines] The layout of the manual that the supervisor has to use need adaptation to facilitate ease of use in the field. (R11) [Integration of activities] into the daily routine, I think that will be very helpful. Given that some families have older children, some activities that can easily incorporate other children can be specified more directly to mothers. (R13) Supervisor guidelines need tweaking for the context…look at all the variables that the supervisor must observe and the tool should be user friendly and capture the most essential factors. (R14)
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Enhancements to the training process
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In order to improve the training process, the training should be reduced from 10 days since that amount of time is not feasible within a big, integrated program…Before or in between training sessions in person, virtual videos…thus reducing the days of training. (R5) It is not viable to have a 10 day training, especially in the case of an integrated program. It is important to think about how to reduce the number of [training] days, making some sessions virtual beforehand or in between sessions; Think about technology, how to use online sessions. (R6) I think the training can be done in seven to eight days and not ten. (R11)
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