Table 2.
Description of health system strengthening components
| Training | Participants | Training structure | Trainers | On-going support | Donated supplies and equipment |
|---|---|---|---|---|---|
| Integrated Community Case Management (iCCM) [18] | 3 staff from the 17 intervention facilities, including junior CHEWs and CHIPS volunteers | 6-day training, including classroom (presentations and clinical scenarios) and clinical practice sessions | Certified iCCM trainer | 6-weekly* supervision visits by training facilitators and Save the Children staff |
Training modules and M&E tools Job aids and chart booklets Start-up kit, including RR timer, ORS + zinc, paediatric ambu bag, MUAC tapes, thermometer |
| Integrated Management of Childhood Illness (IMCI) [19] | 50 staff from 17 intervention facilities, including CHEWs, CHOs, nurses and doctors | 6-day training, including classroom (presentations and clinical scenarios) and clinical practice sessions | Certified IMCI trainer | ||
| Immunisation “Reaching Every District” | 40 staff from 17 intervention facilities, including CHEWs, CHOs, nurses and doctors | 2–3-day training, covering management, planning, data, supervision, engagement and outreach services | Certified Immunisation trainer | Financial and logistics outreach support |
Vaccine carrier bags 3 electric and 2 solar refrigerators M&E tools, charts and guidelines |
| Nutrition–Infant and Young Child Feeding (IYCF) | 50 CHO, junior CHEWs and CHEWs, and nutrition focal persons | 3-day training, including classroom and practical learning | State Ministry of Health | Provision of IYCF corner, supporting food demonstrations, and supportive supervision. |
Training modules and M&E tools Job aids and chart booklets MUAC tapes Plumpy nut |
| Pulse oximetry and oxygen therapy |
25 staff at 2 referral hospitals 6 staff at 3 PHCs including CHEWs, CHOs, nurses and doctors |
3-day training, including classroom and practical learning | Oxygen for Life Initiative |
Annual biomedical engineer equipment audit Bi-monthly* mentorship visits by Save the Children staff |
12 Lifebox pulse oximeters with universal and paediatric clip probes 8 oxygen concentrators 40 oxygen cylinders |
*This schedule applies to the first 6 months post-training, after which the supervision and mentorship plan will be reviewed
CHEW community health extension worker, CHO community health officer, CHIPS Community Health Influencers Promoters and Services, RR respiratory rate, ORS oral rehydration salt, MUAC mid-upper arm circumference, PHC primary health centre