Study	SRH topic	Location	Study type	Study period	Number of participants	Key outcome measures	Key findings	Scale reported in study
Butts et al. (2020) Development, implementation and dissemination: Couples and Parent-Child Communication Workshops in Zambia	HIV	Zambia	Quantitative Impact evaluation Pre-experimental pre-post single group design	January -June 2017	Primary* = 6 Secondary** = 195	Readiness to conduct a workshop and implementation	Participant readiness to conduct a workshop was generally high in both Provinces Approximately half of the primary participants conducted workshops	6 districts across 2 provinces
Darras and van der Heide (2015) Implementing psychosocial methods to reinforce women's legal rights awareness training in Jordan	Gender-based violence	Jordan	Mixed methods Formative and impact evaluation Pre-experimental pre-post 2 group design	Not specified	Primary = not specified Secondary = 170 (approx.)	Participant knowledge, legal awareness and participant perceptions of training methods	Participant knowledge and legal awareness increased in both methods of delivery (2x 1hour sessions and 2x 2.5hour sessions) Participants and facilitators preferred longer sessions	Single community
Foster et al. (2017) Community-based distribution of misoprostol for early abortion: evaluation of a program along the Thailand–Burma border	Abortion	Thailand & Burma	Mixed methods Outcome evaluation Pre-experimental: post only single group design	January 2012 - December 2014	Primary = 2 Secondary = 5	Pregnancy outcomes	918 women were provided with misoprostol for early abortion 885 women (96.4%) were no longer pregnant at follow-up 29 women were pregnant at follow-up (3.2%) 4 women were lost to follow-up (0.4%)	Regional
Jones et al. (2015) HIV Prevention in Resource Limited Settings: A Case Study of Challenges and Opportunities for Implementation	HIV	Zambia	Mixed methods Process evaluation	2009-2012	Primary = 130 Secondary = 52	Training delivery rates, providers’ intentions to initiate and continue provision of the program, comfort delivering the intervention, competence in the delivery of the intervention, number of clinics, staff trained, sessions, drop out and discontinuation	Implementation addressed multiple issues relating to: training consultants decision making administration evaluation travel staff compensation ongoing quality assurance	Scale up to 4/10 provinces
Kohi et al. (2010) The Tanzania HIV/AIDS nursing education (THANE) preservice curriculum	HIV	Tanzania	Quantitative process & impact evaluation Pre-experimental: Pre-post test single group design	2009-2013	Primary = 18 Secondary = 300	HIV knowledge, confidence in teaching, and thoughts about HIV, participant satisfaction with the workshops, and implementation and dissemination of program	Evaluation findings not reported in paper. Development and implementation learnings included: Support from stakeholders is essential Challenges include: lack of resources, integrating training into existing systems, keeping content current	National scale up
Labrecque et al. (2013) Strengthening vasectomy services in Rwanda: introduction of thermal cautery with fascial interposition	Vasectomy	Rwanda	Quantitative Outcome evaluation Pre-experimental: Post only single group design	Primary training – 5 days in 2010 Scale up period unclear	Primary = 3 Secondary = 46 (secondary training not reported in paper)	Number of men who received vasectomies	67 men received vasectomies	5 rural health centres (scale up to 27 districts not reported in paper)
Lieber et al. (2019) Cervical Cancer Screening in HIV-Positive Farmers in South Africa: Mixed-Method Assessment	HIV & cervical cancer	South Africa	Mixed methods Process & impact evaluation Pre-experimental: post only single group design	Not provided	Primary = not provided Secondary = not provided	Advancements in knowledge and skills of providers and improvements in knowledge, attitudes, and behaviours of participants, perspectives and experiences of participants and providers, gaps in the program that would inform improvements moving forward	Improved cervical cancer screening understanding and awareness report by participants Barriers included concerns about privacy and negative perceptions of medical care Trained healthcare workers displayed ongoing clinical competence Positive correlation identified between visual inspection with acetic acid (VIA) and Pap smear results Loss to follow up = approximately half of the first cohort of patients month-over-month change for overlapping 4 months of programming between 2015 and 2016 revealed 4.4% negative change in number of Pap smears 57% negative change in VIAs	Single farm-based HIV clinic site
Makins et al. (2018) FIGO postpartum intrauterine device initiative: Complication rates across 6 countries	Long acting risible contraceptives	Sri Lanka, India, Nepal, Bangladesh, Tanzania, and Kenya	Quantitative Outcome evaluation (post hoc analysis) Pre-experimental: Post only single group design	May 2014 to September 2017	Primary = 12-18 Secondary = 4,904	Complication rates following postpartum intrauterine device (PPIUD) insertion	36 766 PPIUDs were inserted Expulsion rate = 2.6% Removal rate = 3.6%,	6 countries
Malama et al. (2020) A couple-focused, integrated unplanned pregnancy and HIV prevention program in urban and rural Zambia	Unplanned pregnancy & HIV	Zambia	Quantitative Outcome evaluation Pre-experimental: post-only single group design	2013-2016	Primary = 391 Secondary = 810	Number of staff trained, clients served, HIV infections averted, unplanned pregnancies averted	1201 counsellors trained 120,535 urban and 87,676 rural couples received intervention 12,869 urban and 8279 rural adult HIV infections were estimated to be averted 98,626 unintended urban pregnancies were estimated to be averted	55 urban clinics 215 rural clinics across 33 districts
Nyamathi et al. (2010) Delivery of a model HIV prevention and health promotion train-the-trainer program in India by homeopathy and Ayurveda practitioners and educators	HIV	India	Quantitative Impact evaluation Pre-experimental: pre-post 2 group design	2006 (12 months)	Primary = 202 Secondary = 782	Change in knowledge of and attitudes regarding HIV/AIDS, number of secondary trainees trained by the primary trainees	Significantly increases in HIV/AIDS knowledge and attitude for both 1-day and 3-day primary training groups Ongoing improvements in both groups reported at 3- and 6-month post training 26% of participants who participated in the one-day program trained secondary trainees 36% of participants in the 3-day program trained secondary trainees	Metropolitan region (Delhi)
Pitipan et al. (2017) Fidelity Moderates the Association Between Negative Condom Attitudes and Outcome Behaviour in an Evidence-Based Sexual Risk Reduction Intervention for Female Sex Workers	HIV	Mexico	Quantitative (post hoc analysis) Outcome evaluation Randomised Control trial design	2004-2006	Primary = not reported Secondary = not reported	Attitudes toward condoms, fidelity of the implementation of the intervention	Only 15.1% (n=73) sessions were found to have demonstrate complete fidelity Negative condom attitudes predicted greater condomless sex at lower levels of fidelity, The effect of condom attitudes on condomless sex was weaker at higher levels of fidelity	13 clinics across 8 states
Renju et al. (2010) A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania	Adolescent SRH	Tanzania	Mixed methods Process & impact evaluation Pre-experimental: Pre-post single group design	June 2004 - December 2008	Primary = 24 Secondary = 429	Knowledge on STI/HIV/AIDS transmission and prevention, knowledge on pubertal changes, attitudes towards condoms, confidentiality and young people’s rights to treatment, coverage, attendance, selection, motivation, experiences, attitudes, perceptions, characteristics, ownership, training content and delivery, levels of support, logistics and other external factors.	Improvements in trainers’ confidence and ability to lead were reported Significant improvements in HIV/AIDS and puberty knowledge following district-led training Significant improvements in attitudes towards condoms, confidentiality and young people’s rights to treatment following district-led training Compared to control health units, intervention health units scored higher in simulated patient scenarios for family planning and condom request, but lower in the STI scenario Selection and retention of trained health workers was key challenge for the scaling up Numerous contextual and structural constraints were challenges to the scaling up	Regional scale up
Sodhi et al. (2014) Supporting middle-cadre health care workers in Malawi: Lessons learned during implementation of the PALM PLUS package	HIV & STIs (& non SRH topics tuberculosis, malaria, asthma, chronic obstructive pulmonary disease)	Malawi	Mixed methods Process evaluation component of an RCT	January 2010 to December 2011	Primary = 37 Secondary = 519	Trainee satisfaction and retention, patient clinical outcomes, programmatic lessons learned	Key enablers included: Building peer support networks ensuring adequate training capacity building linkages to continuing professional development accreditation providing modest training budgets Key barriers included: Staff turnover Financial training allowances	District scale up
Stormo et al. (2013) Findings and lessons learned from a multi-partner collaboration to increase cervical cancer prevention efforts in Bolivia	Cervical cancer	Bolivia	Quantitative Formative & impact evaluation Pre-experimental: pre-post single group design	September 2010 to December 2012	VIA & cryotherapy Primary = 12 Secondary = 61 (approx. half of secondary trainees were trained by primary trainees)	Knowledge gained, level of skill demonstrated in simulation exercises and oral presentations and ability to plan, implement a basic course on VIA and cryotherapy, and perceptions of course	Most VIA and cryotherapy course participants received a satisfactory post-test score	Regional
Tilahun et al. (2017) Improving contraceptive access, use, and method mix by task sharing Implanon insertion to frontline health workers: the experience of the Integrated Family Health Program in Ethiopia	LARC	Ethiopia	Quantitative Process and outcome evaluation Pre-experimental: post only single group design	Learning phase: Jul –Sept 2009 Dec 2009 – Sept 2015	Learning phase: Primary = 72 Secondary = 218 Scale up phase: Primary = 2,327 Secondary =8,436	Number of TOT and rollout trainings, number of providers trained, and number of clients served	2,328 clinicians trained through 98 TTT sessions 8,436 health extension workers trained 1,382,318 women received contraceptive services, including 1,273,990 contraceptive implants	National scale up
Williams et al. (2014) Effectiveness of Train-the-Trainer HIV Education: A Model from Vietnam	HIV	Vietnam	Quantitative Impact & outcome evaluation Pre-experimental: pre-post single group design	2006-2012	Primary = 87 Secondary =67,338	HIV knowledge, self-report of attitudes toward PLWH, self-confidence regarding ability to care for PLWH and self-confidence regarding teaching skills	87 nurses participated in training to become HIV trainers HIV knowledge and teaching self- confidence increased significantly The 87 nurses reported training over 67,000 health care workers Health care workers demonstrated increased HIV knowledge and increased willingness to provide nursing care for HIV-infected patients	National