TABLE 2.

Facilitators and Barriers to Implementing an Integrated Primary Care Service, Province of Iloilo, Philippines

RE-AIM Dimensions	Facilitators	Barriers
Reach	Endorsement from the municipal health officer and mayor Availability of human resources for health Positive reception of the Konsulta package by local health teams Close proximity of the primary care services to households	Lack of support from local chief executive Insufficient human resources Inadequate financial support for conducting mass registration activities Considerable distance from the site of registration and profiling
Effectiveness	Availability of vaccines and family planning commodities Involvement of the family decision-maker Presence of physician for patient persuasion, in contrast to other health care workers	Misinformation by organized local groups Absence of vaccines and family planning commodities Timing of profiling activity (weekdays meant fewer working individuals and more senior citizens)
Adoption	High interest of municipal health officers Provision of incentives for municipalities committed to implementation (i.e., augment human resources) Initial funding for the hiring of medical consultants to provide technical support	Obtaining approval from local legislative body to participate in the intervention takes time Unfavorable perception of the current capitation amount of the primary care benefit package considered to be below the market cost
Implementation	Existence of efficient knowledge-sharing channels through multistakeholder group chats and frequent meetings Effective utilization of weekly reports and regular feedbacking of implementation challenges	Lengthy process in securing primary care facility accreditation from public health insurance Lack of resources to conduct mass registration in certain settings
Maintenance	Commitment of local chief executives and municipal health officers to generate reimbursements from implementing the intervention	Lack of support from local chief executives Inadequate national-level support to address broader issues, such as accreditation of electronic medical records and changes and agile policies to respond to diverse circumstances

Abbreviation: RE-AIM, reach, effectiveness, adoption, implementation, and maintenance.