Table 4.

Key themes identified and major findings

Key themes	Major findings
Perceived usefulness of the risk management program	• High-risk community members were satisfied with the intervention. • Most villages doctors maintained a positive attitude on the program.
Content of risk management program	• EDSS was a promising tool for CVD management. • EDSS needed to be designed in local language. • Mobile or wireless internet signals needed to be improved. • The use of western medications was a concern among the high-risk community members.
Fidelity to the risk management program	• Lack of knowledge, and traditional cultural belief were the main barriers to medication adherence. • Village doctors showed a high level of fidelity to the intervention.
Barriers and facilitators to implementation	• Lack of trained personnel, large existing workload, financial incentive, and transportation were identified as major challenges for implementation.