Key informant interviews, focus group discussions, record reviews and surveillance data analysis were conducted at the District Surveillance Units (DSUs), Primary Health Centers(PHCs)and Health Subcenters (HSCs). Five out of the 23 districts were selected for the evaluation using a probability proportion to size sampling strategy. Six PHCs were selected randomly from each of these 5 districts and 1 HSC was selected randomly from each of the PHCs. A total of 30 PHCs and HSCs were visited for evaluation.