Table 2.

Summary of findings

Theme	Enablers	Constraints
Environmental	The intervention appeals and aligns with stakeholders’ goals and aspirations.	The increased workload of providers.
	Using adolescents as advocates influenced the adoption.	Transferring trained providers
		Belief about the timing of SRH communications with young people.
		Fear of delivering SRH in religious settings.
Individual	The intervention appeals and aligns with individual values and morals.	Interference with personal life.
	It brought direct and indirect benefits for community advocates	Scepticism of the importance and impact of SRH issues
		Poorly trained providers
Intervention related	Adapted to local contexts.	Technicalities and ambiguities in the manual
	Multi-stakeholder engagement.	Shortages of materials and tools
	Use of the multicomponent approach	Conflict of interest with project objectives.
	Active and recognized roles assigned to stakeholders	Poorly recruited advocates and providers
	Training of advocates.	Non-provision of stipends to providers and advocates.
	Supply of materials needed for awareness.	Profit orientation of PPMVs