Table 6.

Recommendations concerning wider implementation of the programme

Construct	Recommendation
Interactional workability	More emphasis and training on the empowerment approach Increased attention to teambuilding
Relational integration	Increased training and supervision on the implementation of the programme and regular feedback on programme progress
Skill-set workability	Increased attention to issues related to hierarchical relationships within the clinics, and how problems caused by this could be dispelled Streamlining of administrative relationships
Contextual integration	Attention to management structures, payment systems, facilities and space for the intervention Attention to lay health worker supply and attrition