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New monitoring system - Kobo for tracking beneficiaries

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New monitoring system - Kobo for tracking beneficiaries

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How are the CBVs distributed across the geographic areas? 

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How are the CBVs distributed across the geographic areas? 

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Supervision frequency has decreased in the recent survey

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Supervision frequency has decreased in the recent survey

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- Smaller percentage has any supervision in the past 30 days (lower than in the first round) 53% vs 82%
- But we do not know if the supervisor travels to the districts

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Need to better understand supervision and oversight model

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Need to better understand supervision and oversight model

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Should we interview the master trainers about the content? (ChildFund, MOH, MOE, Ministry of Community Development)

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Should we interview the master trainers about the content? (ChildFund, MOH, MOE, Ministry of Community Development)

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- Many reported have not been visited (or visited by another program)
- Multiple programs focus on nutrition
- More caregivers mentioned play and communication in FGD

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Only half of caregivers reported learning something new during their home visits

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Only half of caregivers reported learning something new during their home visits

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Caregivers that claim to have received visits saw slightly higher HOME scores 

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Caregivers that claim to have received visits saw slightly higher HOME scores 

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What is the new partner to UNICEF?  What does World Vision do for UNICEF?

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What is the new partner to UNICEF?  What does World Vision do for UNICEF?

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ChildFund completed partnership

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What is the rollout plan for group couseling?

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What is the rollout plan for group couseling?

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Will there be time to scale up the group sessions in the remaining period?

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Home visits
Content in the health clinic waiting room
Group counseling
Insaka group sessions for mothers and babies
Mass media

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Play and communication content mentioned when parents come for regular health monitoring at clinics (health facilities)

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Play and communication content mentioned when parents come for regular health monitoring at clinics (health facilities)

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Scale may be reached if parents attend group counseling 

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Scale may be reached if parents attend group counseling 

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Is the intervention changing?
Group counseling manuals have shown only lecture content

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CBVs previously trained did not receive refreshers

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CBVs previously trained did not receive refreshers

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Received monitoring tools (reporting on number of families visited, date of visit, age of the child at time of visit)
Received material incentives (backpacks, umbrellas, gumboots; some reported receiving radios, memory stick with content with play and responsive stimulation for radios)

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Are all eligible families being reached? 

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Are all eligible families being reached? 

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About 55% stated that they received visits in 2022

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Group counseling - process and observation at community level 

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Group counseling - process and observation at community level 

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Curriculum for health workers; training observation for health professionals?

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Curriculum for health workers; training observation for health professionals?

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UNICEF says they incorporated the training into health workers in-service training

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UNICEF says they incorporated the training into health workers in-service training

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We have not seen the materials or the training

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Only 150 CBV trained since last summer

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Upcoming: group counseling at community settings for 20+ parents

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Upcoming: group counseling at community settings for 20+ parents

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Frances and Given have seen the manual (not structured). Based on CBV judgment on whether they need sessions. - Manual is ChildFund-based; training has not started. Waiting for final training package to be approved by government. - Need to observe!

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Mass media and social marketing communication

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Mass media and social marketing communication

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Focusing on the importance of play and communication with the child (CCD)

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Policy-level advocacy; multi-sectoral committee within the MOH

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Policy-level advocacy; multi-sectoral committee within the MOH

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Group sessions at Insakas - planned for parents

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Group sessions at Insakas - planned for parents

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However, only 13% are attending any group session
No group curriculum

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Home visiting: 7 visits for families ages 0-36 months 

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Home visiting: 7 visits for families ages 0-36 months 

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About 55% in the most recent survey received any home visits.  How many have received 7 visits?  We don't know.
CBVs are doing multiple programs - UNICEF and Fanser, plus malaria program (government run).

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Home visiting intervention - community based volunteers; policy level work

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Home visiting intervention - community based volunteers; policy level work