Ethical statement
SECONDARY
Ethical approval for all study activities, including the administration of the Model Fidelity Assessment, was granted by the Rwanda National Ethics Committee (0034/RNEC/2017) and University of California, San Francisco Institutional Review Board (16–21177). A written informed consent form was obtained from each provider and CHW prior to the first group ANC or PNC visit in which she/he participated as a facilitator, for being observed by Master Trainers while facilitating a group ANC or PNC visit. No personal identifiers of providers or CHWs were recorded. Study staff protected all data as confidential. This study analyzed secondary data collected for the purposes of program monitoring.