The training was conducted at the LGA level for TRLs from the selected villages. A total of 23 participants were trained in each of the four intervention LGAs. This comprised all the village heads in the selected villages and the Clan Head from the selected Wards and two religious leaders from each Ward. None of the selected participants held dual offices. The majority of the religious groups were Christians; only Obudu, an LGA in the northern senatorial district, had an Islamic religious leader. Two religious leaders with the largest followers and the leader of the only Islamic group were invited to participate in the training in each Ward.

The venue of the training was the primary healthcare facility in three LGAs and the town council hall in one LGA. Training sessions included types of leadership, characteristics of a good leader, transformational leadership, effective communication, vaccination, community mobilization, etc. All the participants were literate and could be communicated with in Nigerian Pidgin (also called Nigerian Creole), which is an informal English-based creole language spoken as a lingua franca across Nigeria. The sessions were interactive and participatory. Methods of training adopted included brainstorming, large and small group discussions, role-plays, problem-solving case studies, and learning aids. Five sessions of training were held in the first nine months and three sessions in the second nine months. No training was conducted for traditional and religious leaders in the control sites.

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