TABLE 3.

Summary of Ghana Second Year of Life Immunization Training of Trainers Monitoring and Evaluation Methods

Intervention Phase	Method	Description	Training Objective
During the workshop	Technical exercises	Exercises using local data to practice new skills and evaluate learning. Facilitators and peers provided feedback.	2YL vaccination services competency
	End of day temperature check	Informal focus group to understand participants’ concerns and adjust for the following day	2YL vaccination services competency
	Teachback feedback	To evaluate learning and give trainers constructive feedback about their training delivery skills	Capacity as a trainer
End of workshop	End of workshop data collection	Activities to collect opinions on training effectiveness and usefulness	2YL vaccination services competency Capacity as a trainer
After workshop, field activities	Activity reporting tool	Electronic survey measuring frequency and process indicators (where, what, who, when) by recording activities that happened at the subdistrict level	Capacity as a trainer
	Field activity reports	Reports submitted from DHMTs following their workforce development intervention at the subdistrict level	Capacity as a trainer
After workshop, evaluation of impact	Health care worker assessment of DHMT trainers (part of the postsurvey)	Survey investigating the value added from the TOT: How did health facility workers perceive the quality of the training they received?	Capacity as a trainer

Abbreviations: 2YL, second year of life; DHMT, district health management team; TOT, training of trainer.