Table 1.

Description of the study validation methods

Implementation strength indicator	Validation method	Description
Validation at the health center/supervisor level
(1) Percentage of HSAs currently working	Supervisor records	Record review; if no record was available, supervisor responded from memory
(2) Percentage of HSAs trained in CCM	Supervisor records
(3) Percentage of HSAs supervised in the previous 3 months	Supervisor records and monthly monitoring form	Record review; if no record was available, supervisor responded from memory
(4) Percentage of HSAs who received clinical mentoring in the previous 3 months
(5) Percentage of HSAs supervised with reinforcement of clinical practice for the most recent supervision in the previous 3 months	Supervision and mentoring checklists	Review of most recent completed checklist; if no checklist was available, information was not captured
(6) Percentage of HSAs with a drug stock-out in the previous 3 reporting months	Monthly monitoring form review	Review of six most recent monthly monitoring forms; if all six were not accessible, then data were recorded from the partial set*
Validation at the village clinic/HSA level
(8) Percentage of HSAs with current stocks of CCM drugs/supplies	Observation at VC	Direct observation of drugs/supplies at HSA VC
(9) Percentage of HSAs with minimum stocks of CCM drugs
(10) Percentage of HSAs who have treated a sick child in the previous 3 months	Register review	Direct observation of CCM register at HSA VC

VC = village clinic.

^*HSAs were asked only about the stock-outs that had been reported to the health center through the monitoring form so that the information could be validated. It did not include recent stock-outs.