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Health workers from every facility were trained in essential newborn care, lifesaving skills and safe motherhood, and discussed the MaiMwana interventions. Counsellors were supervised by 24 government health surveillance assistants, who visited quarterly, documenting progress, achievements, and challenges, and by three MaiMwana officers. Health surveillance assistants received initial and yearly refresher training, attended monthly and quarterly meetings, and were given calendars and a supervisory checklist.
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