The implementation of complex health interventions presents challenges that are multifaceted, and tied to acceptability, feasibility, adaptability, affordability and ownership. Programs must gain and sustain “buy-in” across a spectrum of stakeholders- from officials at ministry and regional levels, to district health staff, facility-based providers and community leaders. An added layer of complexity is inherent to programs that are new or novel; under these circumstances an extra dose of  sensitization and knowledge dissemination is needed.