Table 1 Summary of Key Differences in NGO-led and MOH-led Care Group Models

Ratio of Supervisors to Care Groups

1 Promoter: 5-9 Care Groups

1 CHW: 1-3 Care Groups

Training Methodologies

Promoters train Care Group Volunteers during the twice-monthly Care Group meetings

NGO staff provide quarterly one-day Training of Trainers to the District Health Team on three months’ worth of BCC modules. The District Health Team then cascades these trainings down through the MOH system as follows:

• The District Health Team provides quarterly one-day trainings to the health facility nurses on the same modules

• MOH nurses train the CHWs within their health facility catchment areas on those same topics on a monthly basis

• CHWs provide that same training to their Care Groups during their twice-monthly Care Group meetings

Supervision

Care Group Volunteers are supervised by Promoters, who are in turn supervised by senior project staff

Supervision structure is through MOH system:

• CHWs supervise Care Group Volunteers

• CHWs are supervised by the nurse at each health facility