TABLE 2.

Program Inputs Provided in Inhamabane vs. Nampula Provinces, Mozambique

Inputs	Inhambane	Nampula
Supervision	Ad hoc supervision from health staff when time/resources permitted	Routine supervision from Jhpiego MCSP staff Some initial supervision visits from AMOG (funded by MCSP)
Personnel	Health staff strongly believed the misoprostol program was a pilot project as it was only in selected districts in the province Strictly implemented eligibility criteria Significantly less misoprostol distributed at ANC (989 doses) than Nampula Fear of misuse limited distribution	Greater sense of support from health staff as many were aware of the 2009–2010 pilot and appreciated the potential misoprostol has to reduce PPH and MMR Less sense of a need to limit women due to criteria Significantly more distributed at ANC (13,602 doses) than Inhambane
Champions	Lack of clear champion; MNCH leaders supportive yet constrained by lack of resources	Provincial and district MNCH leaders showed very strong support for the program and encouraged implementation
Training	Funded by UNFPA; led by trained MOH master trainers, with UNFPA technical support Training imbalanced; targeted more CHWs (337) than TBAs (47)	Funded by Jhpiego's MCSP program; led by AMOG and MOH with MCSP technical support Provided significantly more TBAs with training (980), providing greater community coverage
Logistics	Challenges distributing stock from province to districts; as of October 2017, 87% of misoprostol stock remained in provincial warehouse	Fewer challenges distributing stock from province to districts; only 1% of stock remained in provincial warehouse as of October 2017
Monitoring and evaluation	Parallel system; not integrated in the national health information system	Parallel system; not integrated in the national health information system MCSP provided technical support to develop M&E tools but they were not adopted at the national level No data available provincially on misoprostol returns from CHWs/TBAs

Abbreviations: AMOG, Association of Mozambican Obstetricians and Gynaecologists; ANC, antenatal care; CHW, community health worker; MCSP, Maternal and Child Survival Project; M&E, monitoring and evaluation; MMR, maternal mortality ratio; MNCH, maternal, newborn, and child health; MOH, Ministry of Health; PPH, postpartum haemorrhage; TBA, traditional birth attendant; UNFPA, United Nations Population Fund.