7. Future directions
This study highlights several future research and practice directions. First, more evidence generated through pragmatic trial designs such as stepped wedge trials is needed in LMICs. Second, more evidence on the sustained implementation of community-volunteer-led models is needed, particularly evidence or models that consider aspects that impact sustainability such as incentives for community volunteers, waning motivation levels over time, and evolution of social dynamics in villages. Related to sustainability, Atmiyata is testing whether a social franchising model [