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Phase 1: Situational assessment

Situational assessment, which involves a systematic review of local literature regarding GAS, ARF, and RHD and characterisation of candidate sites.

Phase 2: Facility-based Assessment

Facility-based assessment, which includes reviewing clinical records, evaluating capacity to deliver care around GAS, ARF, and RHD in the site’s health facilities, and seeking an understanding of how services around ARF/RHD integrate with the rest of the health system.

Phase 3: Understanding the patient and provider experience

Understanding the patient and provider experience, which uses qualitative methods to understand barriers and facilitators along the CoC©

Phase 4: Planning the intervention

Planning the intervention, which implements a rigorous process approach to mapping and dialoguing with stakeholders and then designing the intervention and also includes a monitoring and evaluation framework.