Table 3.

Summary of measures for fidelity, dose delivery and reach

	Fidelity	Dose	Reach
1. Puberty education	Was all puberty education content delivered?	N of puberty training sessions delivered to teachers	N of teachers receiving puberty training
	Was an action plan created by the school?	N of puberty training sessions delivered to students	N of pupils receiving puberty education
	Was the action plan followed?
2. Drama skit	Were facilitation sessions and practices carried out?	N of rehearsals
	Was the performance carried out on annual parents’ day?	N of performances	N of i) parents and ii) students attending drama performance
	Delivered within expected time scales?
	Were all core topics included?
3. MHH kit and training	Was training of trainers delivered?	N of MHH kits distributed	N of girls receiving a MHH kit
	Was training to S2 students delivered by trainers?	N of student training sessions held	N of students receiving MHH training
	Were all training components covered in S2 those trained?	N of training components covered
	Were all kit components included?
	Were follow-up visits carried out?	N of follow-up visits
4. Pain management	Did all girls receive vouchers?	N of vouchers given to girls?	N of girls redeeming painkiller vouchers
	Were procedures in place for girls to exchange?
	Was stock of painkillers available?
3. WASH improvements	Were all WASH components installed?	N of WASH components installed	N of schools receiving all basic WASH items
	Were all WASH components installed in time?		N of components present at follow-up
	Were the WASH improvements maintained?		Percentage of toilets functional, with lockable door and clean at final visit and percentage of visits where soap and water available