The Preterm Birth Initiative (PTBi)–Rwanda conducted a cluster randomized controlled trial of 36 health centers, using a standardized tool to assess number of providers, ANC volume, suitable space for group care, services, and equipment. Considering the many components involved in effectively carrying out an intervention, maintaining implementation fidelity is critical to successfully translate evidence-based interventions into practice. A further threat to implementation fidelity is the decay of skills that is commonly seen after trainings. Intervention components impacting complexity include: the number of sessions within an intervention, the number of participants and the incorporation of group level interventions. Implementation fidelity is affected by several factors, including the level of complexity of the intervention. One challenge is to ensure “implementation fidelity,” which is defined as the degree to which an intervention is implemented as intended. We also share information about your use of our website with our social media, advertising and analytics partners.Successful introduction of any new outpatient care strategy that disrupts the status quo to clinic flow and systems, poses numerous challenges, particularly in low-resource settings. We use cookies to personalize content and ads, provide social media features, and analyze the use of our website.

This helps us measure the effectiveness of our marketing campaigns. Microsoft Advertising uses these cookies to anonymously identify user sessions. It also serves behaviorally targeted ads on other websites, similar to most specialized online marketing companies. The Facebook cookie is used by it's parent company Meta to monitor behavior on this website in order to serve targeted ads to its users when they are logged into its services. Google will use this information for the purpose of evaluating your use of the website, compiling reports on website activity for us and providing other services relating to website activity and internet usage. The purpose of Google Analytics is to analyze the traffic on our website. Security (protection against CSRF Cross-Site Request Forgery) Stores login sessions (so that the server knows that this browser is logged into a user account) which cookies were accepted and rejected).

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