“…However, our data suggest that only 66% of caregivers reported starting the first dose while the distributor was directly observing the patient, indicating that distributors may have left the entire blister pack in the house with instructions for a later caregiver to administer the medication, as observed in Mozambique, Burkina Faso, and Chad [10,11,15]. In a qualitative study by Kajubi et al [18], CHWs attributed this inconsistency to their heavy workload, which prevented them from returning to the home later in the day to ensure that they could administer the medication while the child was present.…”