Table 1.

Intervention description.

Input		Activities	Description
Funding		Catholic Organization for Relief Development Aid	A three and a half-year grant
Setting
	Districts	In all, 3 districts selected	One rural and one semiurban district selected per district; In total, 6 subdistricts
Intervention components
	Short message service (SMS) messages	Information was sent via weekly text messages on the following: antenatal care, postnatal care, immunization, nutrition, danger signs during pregnancy, delivery services, family planning, prevention of mother to child HIV, health education on self-care and child care, nutrition and breastfeeding and maternal rights and responsibilities	Women were the intended targets of the SMS messages. However, monitoring reports indicated that in some households, men owned the phones. Men were then also enrolled on the SMS platform. Messages were sent only via written text messages at first but midway through the program was modified to include voice messages also. Messages were sent in biweekly in Luganda, most commonly spoken local language in the regions. Feedback messages could be sent in response. These could be about experiences at the health center, additional questions, or issues with the SMS intervention itself. In all, 100 feedback messages were received through the SMS platform. As part of the intervention, on a quarterly basis, RH experts would develop answers to questions received through the platform, and these would be sent back as general awareness messages.
	Radio programming	Information provided based on feedback questions received through the SMS intervention	Radio programs were aired biweekly on different stations depending on the district. They addressed questions that had been sent to the SMS platform and provided additional maternal health information.
Participants
	1. Village health teams (VHTs)	Prepare work plans for reaching out to the primary beneficiaries; deliver services on a reach out basis; screen, advise, and refer as required; follow-up and assess response of the primary beneficiaries to the maternal, sexual and reproductive health services	One VHT consisting of 10 individuals was invited per sub-district. In total, 60 VHT members were invited and agreed to be part of the programs. In all, two trainings per year were carried out as planned per district; one in maternal health technical content and another on the use of information communication technology tools. All VHTs received a bicycle, monthly allowance of 20,000 Uganda Shillings, and t-shirts.
	2. Primary beneficiaries	Demand and seek maternal, sexual and reproductive health services; demand for downward accountability; provide feedback on quality of service delivery	Primary beneficiaries could be men and women of reproductive age. The program reached 2341 men and women.
	3. Service providers	Provide maternal, sexual and reproductive health services; provide feedback on utilization, outcomes, and impact; provide facility data on outcomes and impact	Health workers at all health facilities within the sub districts were enrolled in the program and offered training. In total, 18 health providers were trained. However, high turnovers within health facilities disrupted the ability to measure.