Table 2.

Summary of roles, degree and key mechanisms of convergence, and salient factors by different administrative levels

Level	Main role/action	Convergence degree and key mechanism	Salient factor: (+) facilitators and (−) barriers
State	-Establish state-wide programs and initiatives -Provide guidelines -Monitor and assess data -Allocate resources	Collaboration: -Developing guidelines -Meetings to discuss topics and plan and review programs and initiatives	(+) Shared motivation/goals (+) Recognized leadership for coordination (−) Different priority actions (−) Little data sharing (−) Lack of accountability and feedback mechanisms
District	-Prioritize services and activities -Plan annually/monthly -Monitor data reports -Allocate resources -Train block staff and FLWs	Coordination: -Planning and review meetings -Data sharing -Joint training sessions	(+) Clear leadership (+) Mutual understanding of roles (−) Narrow priority topics related to health and disease (−) Low participation/poor attendance (−) Limited supervision
Block	-Plan annually/monthly -Gather data records and registers and report -Supervise and feedback -Train/orient FLWs	Cooperation: -Planning and supervision	(+) Shared motivation (−) Lack of direction or guidelines (−) Heavy workload (−) Inadequate resources (−) Poor communication
Village/Frontline	-Schedule and implement services and activities -Record/register and report -Build rapport and demand creation in community	Collaboration: -Delivery of services, through VHND and home visits	(+) Shared motivation (+) Close inter-personal communication and vicinity (+) Understanding of roles and responsibilities (−) Unbalanced incentives