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We aimed to evaluate caregiver outcomes and explore intervention experiences in six low-income and middle-income countries (Bhutan, Brazil, Serbia, Sierra Leone, Rwanda, and Zambia). Using a non-randomised pragmatic design, we recruited caregivers in using community-based sampling. Caregivers reported dose exposure and completed pre-post outcome measures of self-efficacy, social support, depression , anxiety and parenting stress. Using pooled data, two-way fixed effects regressions examined change and variations in outcomes, by dose. 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