Table 5 Implications for intervention

Nutrition

- Inadequate training

- Nutrition counselling is not well understood by the CHWs

- CHWs lack understanding of how to integrate nutrition in the existing work load.

- Mothers did not see CHWs as a source of nutrition information

- CHWs have opportunities to interact with the mothers

- CHWs need to report on nutrition indicators

- CHWs want to provide nutrition advice

Content

- CHWs should be adequately trained to provide nutrition counselling

- There is a need for job aid that allows CHWs to integrate nutrition within existing work

Process

- Increase awareness of responsibilities regarding nutrition

- Supervisors of the CHWs should be included in the process

ICT

- Inadequately trained to use ICTs

- Infrastructure is not supportive for use of computers and other devices in static facilities

- Not compensation provided for using mobile phones for work

- Most CHWs can use mobile phone in a limited fashion (direct calls)

- CHWs already use personal mobile phones for work

- Mothers call the CHWs for information

- CHWs are willing to use mobile phones for nutrition

- They believe use of mobile phone can save money and time

Device

- Mobile phones are the most available device for use for CHWs

Process

- There may be training needs if CHWs need to make more than voice calls.

- If mobile phones are used for program, airtime should be paid for

Community

- Many mothers do not own mobile phones

- Permission from husbands needed for the CHWs to call mothers

- Mothers do not use SMS

- Mothers have a need for nutrition information

- Husbands are willing to share their phone with wives for health information

- CHWs are trusted in the community

Device

- Mobile phones can be used reaching mothers with nutrition counselling

Process

- Voice calls are preferred

- Calls have to be made when phones are available at home

- Trust building exercise has to be conducted to link the system to the community