Trainees present progress reports on the projects implemented and receive guidance on how to communicate the project results including report writing and presentations.
Process evaluations examine the implementation of research and enable a better understanding of how an intervention is implemented and received within its specific context, thus aiding the interpretation of its outcomes [ 18, 19].
Despite criticism from the International Monetary Fund and the U.S. Agency for International Development (USAID), the policy was implemented and received strong support from Malawians.
A range of data sources were used to explore how the intervention was implemented and received (Table 1).
Environment: Contextual factors external to the action model can shape how programs are planned (positively, negatively or neutral), implemented and received.
How SMS has been implemented and received by the participants will be measured by means of the following concepts, as recommended by Saunders and colleagues [ 31]: fidelity, dose delivered, dose received, reach, recruitment and context.
In order to get more insight into how the intervention was implemented and received, what its strengths and weaknesses were, and under what conditions it was delivered, a process evaluation was conducted parallel to the randomized trial.
Our study is based on the following definition of CHWs: "health workers performing functions related to health care delivery; who have received a limited training focused on activities they need to carry out in the context of the intervention(s) they implement; and have received no formal professional or paraprofessional certificate or tertiary education degree" [ 47].
Project support: Fellows design and implement projects and receive mentoring from expert faculty.
However, to achieve these goals, all PHC centers in Lebanon need to implement accreditation and receive support both in financial and non-financial resources.
