Table 3 Summary of measures for fidelity, dose delivery and reach

1. Puberty education

Was all puberty education content delivered?

N of puberty training sessions delivered to teachers

N of teachers receiving puberty training

Was an action plan created by the school?

N of puberty training sessions delivered to students

N of pupils receiving puberty education

Was the action plan followed?

2. Drama skit

Were facilitation sessions and practices carried out?

N of rehearsals

Was the performance carried out on annual parents’ day?

N of performances

N of i) parents and ii) students attending drama performance

Delivered within expected time scales?

Were all core topics included?

3. MHH kit and training

Was training of trainers delivered?

N of MHH kits distributed

N of girls receiving a MHH kit

Was training to S2 students delivered by trainers?

N of student training sessions held

N of students receiving MHH training

Were all training components covered in S2 those trained?

N of training components covered

Were all kit components included?

Were follow-up visits carried out?

N of follow-up visits

4. Pain management

Did all girls receive vouchers?

N of vouchers given to girls?

N of girls redeeming painkiller vouchers

Were procedures in place for girls to exchange?

Was stock of painkillers available?

3. WASH improvements

Were all WASH components installed?

N of WASH components installed

N of schools receiving all basic WASH items

Were all WASH components installed in time?

N of components present at follow-up

Were the WASH improvements maintained?

Percentage of toilets functional, with lockable door and clean at final visit and percentage of visits where soap and water available