Table 2.

Key results according to the health systems building blocks

	Building blocks	Key themes
1	Health financing	Enablers; • Counterpart funding from government • Successor grants from other donors • Continued support from other USAID-funded projects
		Barriers; • High cost of servicing maternity equipment • Inability to finance some community components
2	Service delivery	Enablers; • Demand-side component popularised services • Consistent application of learning • Heavy infrastructural upgrade • Project-procured equipment continued to serve
		Barriers; • Setbacks in the community referral systems • Disruptions in the private sector component
3	Human Resources for Health	Enablers; • Massive absorption of project-recruited workforce • Project staff salary harmonisation with public service
		Barriers; • Termination of support from offsite project mentors • Some health facilities (rural) unable to retain staff
4	Health Information systems	Enablers; • Continued offsite support from implementing partner • Government support with reporting tools
		Barriers; • Data management requirements exceed capacity • Variations in capturing data within the catchment area.
5	Governance	Enablers; • Calibre of district leadership
		Barriers; • Unstable district technical leadership.
6	Medical products, Vaccines and Technologies	Enablers; • Support for medicines and supplies from successor grants.
		Barriers; • Medicines and supplies stock-outs