|INITIAL PROTOTYPE FEATURE||FEEDBACK/CONCERNS||MODIFICATIONS|
|Monthly meeting time determined by clinician availability.||Participant availability may change based on agricultural season.||CHWs function as primary liaison with medical team to coordinate best meeting time before the end of each month.|
|Group education on NCDs at the time of group formation and before every monthly meeting.||There is low interest in group education.||
Health education time is modified from didactic teaching to facilitated group discussions on self-management and problem solving.|
CHWs receive training in group facilitation.
|Maximum group size of ~ 30 participants.||Large groups may overburden clinicians.||Maximum group size is decreased to ~ 20 participants.|
|Village-based health screenings to recruit intervention participants.||Concern for disease stigma may preclude willingness to join groups||
Renew efforts to increase community health and intervention awareness.|
Remove AMPATH logo from clinician vehicles.
|Clinician brings a toolkit of common medications for chronic disease management.||Availability of other commonly used medications (i.e., ibuprofen, antibiotics).||Toolkit of medications needed communicated to AMPATH pharmacy.|
|Community entry focused on local leadership.||Concerns regarding program sustainability.||
Community entry and scale up includes multiple levels of leadership.|
Given CDM program is well known, emphasize roll out is in partnership with the existing CDM program.
No seed money provided, but increased agribusiness and financial trainings.
|Microfinance training during group enrollment, and CHW-led health education didactic sessions every month.||There is low income generation among community members, particularly elderly and those with low education levels.||
Agribusiness and financial trainings are incorporated.|
Health education time is modified as above.