Table 2 Description of the fidelity observation checklist

Clinic Preparation

To assess if the clinic is ready to start group on the scheduled time.

Was the room set up before the schedule meeting time? Binary yes/no

3 (0–3)

3

Community Building

To assess if women are socializing with one another.

Are women socializing with one another? Binary yes/no

2 (0–2)

2

Health Assessments

To assess if health assessments are done within the group space and if all women participate in self-assessments.

Did health assessments take place within the group space? Binary yes/no

4 (0–4)

4

Interactive Learning

To assess if the interactive learning occurs with opening and closing activities, in a circle, and after health assessments are completed.

Was discussion conducted in a circle? Binary, yes/no

8 (0–8)

≥ 6

Environment and Logistics

To assess availability and adequacy of space and supplies.

Was the session disrupted for any reason? Binary yes/no

6 (0–6)

≥ 5

Group Dynamics

To assessment engagement of women during group.

About how many group members engaged in the following: Shared ideas, feelings, experiences, Likert scale

6 (0–18)

≥ 15

Co-Facilitator Skills

To assess co-facilitators’ use of facilitation strategies taught in group healthcare training.

Facilitators asked open-ended questions, Likert scale

6 (0–12)

≥ 10

Group Care Delivery

To assess the overall delivery of group care and the level of connectedness among group members.

Overall, to what extent was the group session more like a class/lecture or more like a discussion? Likert scale

3 (0–12)

≥ 10

Total Fidelity Score

0–65

≥ 52