Thanks! It was a but tricky to figure out but luckily I have some really smart friends.

Richard,

Thanks. We have posted the pictures of the user experience map in the beginning. I am still trying to figure out how to post the video we made of that in the beginning but I have attached the file for people to watch. It is just not located in the right section, instead it is under the document postings.

We have prototyped how to advertise the program to pregnant women through the churches which proved to be very successful giving us the number we desired of 10 with the understanding that once the program is implemented more women will try to join.

We have also prototyped a health education lesson with women who attended the clinic.

We also have performed a taste test with a few women about using spinach for the green vegetables. unfortunately, it was unsuccessful, so we decided to stick with the traditional green vegetable called doo do which does provide many nutrients. I have no idea the other name for it.

As for your other questions. They were great. Here are the responses:

1. The hospital and the Mummy Drayton School Clinic (the Nyaka clinic) are 2km apart on a newly finished dirt road. We were going to give the women a choice of whether they wanted to go to the hospital or our clinic for ante natal and postnatal care. The women, currently, will have to deliver at the hospital since the Nyaka Clinic does not have the infrastructure for that service yet. We think that most women will choose the Mummy Drayton School (MDS) Clinic since the wait isn't as long. The travel for those who live far away will still be a struggle. Women often come by foot or on a motorcycle taxi.

2. Our ideal women will be young women especially first time mothers because that will have the biggest long term impact. We will also include young mothers. Those mothers with children that are too young to stay with others will of course be welcome. We want to discourage older children for coming for fear of distracting the mothers. However, in understanding that this is not an ideal world, we will never turn any children away and especially when the groups get into play they will be included. As for the mobile service and sending reminders for medical appointments, we will start just with the mothers and the child enrolled. Hopefully as our capacity expands we can also expand this program.

3. Our long term plan is not to have the “grannies” participate. They currently have their own program within the Nyaka AIDS Foundation that addresses how to care for orphans, health education, and how to be elderly in a community. Ideally, as the program expands we would hire an individual who would be responsible facilitating the program from the field office. All front line health workers will undergo a training on topics that we want discussed, how to run a group meeting and positive teaching techniques to reduce the shaming that is currently used. The Global Health Corps fellow will be responsible for coming up with this manual and training the initial wave of front line health workers. However, when we are able to hire a full time staff member that responsibility will be passed on to that individual. The first few comprehensive care group meetings will be co facilitated so that we will ensure the health worker knows what is expected of. From then on the worker will be observed occasionally and evaluated noting any improvements that could be made. The Global Health Corps fellow will remain more of a supportive role for those in the field.