Essential Steps in Integrating and Sustaining the SDM  Assess needs and capacity of user organization to provide SDM  Incorporate SDM in norms and policies; create supportive environment  Train providers to screen and counsel clients  Integrate SDM into pre- and in-service training  Incorporate SDM into ongoing supervision system  Increase awareness about SDM among men, women, and stakeholders  Ensure support for CycleBeads procurement and in- country distribution  Include SDM in reporting systems
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