Trained providers are not fully competent after a two-week training, so post training follow-up (PTFU) and supportive supervision visits (SSV) are important parts of the program that allow the trained providers to practice the skills they learned and receive on-site support from state trainers and reproductive health/family planning coordinators. SHOPS Plus reached hard-to-access facilities and staff that have not received consistent supervision visits in the past due to lack of resources. Some of the program’s trained providers say that they have never been visited before. Conducting these visits has given SHOPS Plus insight into what challenges officials, providers, and trainers face. In addition to post training follow-up and supportive supervision visits, the project has also doubled its efforts in increasing provider certification rates by introducing peer coaching and by sending uncertified providers to high volume sites so that they can practice under supervision and meet long-acting reversible contraceptive certification. The program has worked with lower cadre staff in particularly poor conditions on not only their skills, but also on how to conduct community advocacy to improve those conditions.