Home visits
We conducted 6,665 home visits throughout the intervention period. The preliminary review of first-quarter intervention data revealed that home visits were directive, 139 (23%) were family-centered. In 360 (69.62%) home visits, the average duration was less than expected, and 68 (11%) took more than 60 min. Despite rigorous training and certification, monitoring data and interactions in monthly meetings with the Balsakhi revealed low motivation and confidence to deliver interventions. Based on the findings and feedback, we re-designed the intervention delivery approach and introduced the community supervisors to retrain, handhold, and mentor the Balsakhi. We randomly supervised 1,670 (25%) home visits to ensure quality.In the subsequent quarter, the indicator improved. Out of the total of 1,670 home visits supervised, 1,169 (70%) had interactive discussions, 1,458 (87.30%) used tools and other materials effectively during the session delivery, and in 295 (17.66%) home visits, male members from the household participated in the discussion and participation of male members increased from 4.3 to 32.65%. The coverage of the home visits also increased from 31.93% in the first quarter of intervention to 98.6% in the 6th quarter. Out of 294 households from the intervention group, 190 (64.63%) families received more than 75% of home visits, and 104 (35.37%) households received less than 75% of planned home visits (