Table 4. Outcome of Policy-Makers/Researchers Policy Dialogue at the Policy Review/Contextualization Program a the ESMoH, Nigeria .

Policy Approach in Order of Priority	Facilitators	Barriers	Strategies
Community Directed Distribution	1. Higher chance of acceptance by end users 2. Wider reach 3. Accessibility 4. Less cultural barrier 5. Less cost 6. Task shifting	1. Political interference 2. Living pattern (settlement pattern) 3. Lack of commitment from the CDDs 4. Lack of supervision 5. Inadequate knowledge 6. Sustainability challenges due to lack of motivation 7. System may open up corruption and abuse	1. Advocacy to opinion leaders 2. Community dialogue 3. Community participation 4. Raise community structure 5. Train community personnel 6. Use local language
School Based Systems	1. Coverage 2. Acceptability 3. Spillover effect 4. Sustainable 5. Cost effective 6. “Catch them early”	1. Difficulty in passing the message 2. Rejection by parents 3. Ethical issues 4. Limited supply time	1. PTA involvement 2. Parent consent 3. School based management committees 4. Peer educators 5. Teachers involvement 6. Appropriate communication methods like role play
Health Facility Based	1. Reach vulnerable group 2. Cost effective 3. Encourage demand for health care 4. Availability of qualified and skilful workers 5. Devoid of political manipulation 6. Building the capacity of health workers	1. Diversion of health workers’ duty-task shifting 2. Low coverage 3. Low perception of quality of healthcare workers 3. Unavailability of the commodity at health facility	1. Strengthen operating procedure 2. Reduce waste of manpower 3. Enhanced monitoring and evaluation by the ministry of health

Abbreviations: CDDs, Community development districts; PTA, Parents-teachers association; ESMoH, Ebonyi State Ministry of Health.