Table 2 Dose and measurement of intervention fidelity

Data strengthening

• Initial training

• Monthly data collection and review sessions

• DQAs every 6 months

• Initial training

• Monthly data sessions, approx. 20 h/year

• 2 DQAs in Uganda, 3 in Kenya

• Training rosters

• Monitored completeness of monthly data on project dashboard

• DQA reports

• Published paper documenting increased completion rates after initial data strengthening published^a

• Paper in press on data strengthening over the life of the project in Kenya

Modified WHO Safe Childbirth Checklist

• Initial training

• Checklists supplied for all births

• Initial training

• Checklists supplied for all births

• Training rosters

• Program records

• Periodic audits to assess completion rates by pause point

• Completion audits showed completion rates of 75–90% by study end

• mSCC-specific paper forthcoming

PRONTO simulation training and mentorship

• 5 trainings in Uganda

• 12 weeks of in situ training/mentoring in Kenya

• 7 trainings in Uganda plus 4 beside mentoring sessions

• 12 weeks of in situ training/mentoring in Kenya

• Training rosters

• Pre-post knowledge tests at initial and final training sessions

• Key simulations video-recoded and coded for uptake of evidence-based practices

• All facilities completed required simulations

• PRONTO-specific paper on changes in knowledge and evidence-based practice in recorded simulations forthcoming

Quality improvement Collaborative

• Initial training

• Coaching visits/ team meetings at facilities every 2 weeks

• 3–6 total Collaborative learning sessions per country

• Initial training

• 5 QI Collaborative sessions per country

• Program records

• Coaches logged visits and topics during meetings

• Collaboratives tracked indicators across facilities at each meeting

• All teams had indicators to present and change efforts to report at each collaborative.

• Indicators improved in each country collaborative

• QI-specific paper on QI team process and results forthcoming