Table 1. Domain One: Initial preparation.

Steps	Notes	Successes	Challenges
A. Gather data on endemicity to begin identifying implementation areas	These data arose from documented observation.
B. Identify local stakeholders and engage in discussion to further identify a program implementation area.	A local stakeholder was identified as a possible local coordinator based on demonstrated interest and capability in relevant public health areas.	The local coordinator had established relationships with the government, health system and community which provided momentum.
C. Approach the local government and community leaders in the identified area	The government was allowed to take leadership and ownership was encouraged.