Funding for this research was provided by:
Global Affairs Canada (Ga-03-2015F)
Canadian Institutes of Health Research (Ga-03-2015F)
International Development Research Centre (Ga-03-2015F)
Received: 10 October 2019
Accepted: 13 March 2020
First Online: 19 March 2020
Ethics approval and consent to participate
: The study was approved by the Burkina Faso Health Research Ethics Committee (2016-09-093) and the Ethics Committee of the CHU de Québec Research Centre (F9 - 32471). The study was authorized by the Ministry of Health (No. 2016 04700/MS/SG/DGS/DLM/PNLP, November 2, 2016) and local health authorities. Written consent from trainers and CBDs was sought at each round. Strict access procedures were applied to ensure the confidentiality of longitudinal data.
: Not applicable.
: The authors declare they have no financial or non-financial competing interests. This study was an independent research project. The results were presented to the national health authorities, and at no time did the SMC sponsors interfere in the formulation of the research questions, the conduct of the study, or the analysis, interpretation, or publication of the data. The authors declare that they derive no benefit from publishing results that are favourable or unfavourable to SMC.