Table 2.

Target skills, training, supervision and fidelity checks for counselors and family planning nurses, by intervention arm

	Skills	Training Strategy	Hours	Supervision & Fidelity
SCC1: Study team-led implementation model	− Building rapport	− Exploration of counselors’ beliefs and attitudes	16	− Supervision ▪ Semimonthly individual and group; ▪ Role-plays
	− Exploring readiness  ▪ Using open question  ▪ Using reflective listening  ▪ Offering information
		− Didactic review of manual
		− Videos / live demos		− Sessions recorded for coding & tailored feedback
		− Role plays  ▪ Communication skills  ▪ Intervention sessions  ▪ Teaching use of tools
				− Session checklists ▪ Counselor completes ▪ Supervisor provides tailored feedback on coverage of content and MI skills
	− Assessing health factors
	− Assisting w/  ▪ disclosure  ▪ family planning decision
		− Personalized feedback: MI skills & content mastery
		− Identification of implementation barriers and solutions
	− Confidence providing SCC
				− 95% of text messages sent on time
	− Teaching SCM and use of tools	− Hands-on text training
	− Problem solving strategies
	− Using text message system
SCC2: MoH-led implementation model	− Knowledge of SCM	− Lecture on benefit of SCC and history of stigma	8	− Supervision on request
	− Confidence providing SCC
		− Read manual sections Answer provider questions		− Quarterly MoH support visits
	− Familiar w/ manual and tools
				− Yearly training update
		− Videos / live demos
		− Practice tools