. 2020 Aug 28;5(4):e10244. doi: 10.1002/lrh2.10244

TABLE 4.

Enablers and barriers of DMOs' mobilization through District.Team

Level	Enablers	Barriers
Related to the intervention	Free and simple online platform; individual funding for internet fees; online archiving of exchanges for future access; data requested already available via the routine health information system; virtual design of the project; issues analyzed were relevant to the district level	Irregular electricity supply; poor internet connection; poor design of the electronic checklist; little implication of the central level Poor communication of the objectives, procedures and content of the project No implication of DMOs in the design of the Initiative and selection of the issue to be analyzed Few solutions to address the identified problems; too long delay between some cycles; the platform has too many links to access information Short duration of the project; some visualizations were complex and difficult to understand
Related to participants	Perception of the usefulness of District.Team; knowledge of internet and computer; perception of District.Team as a learning and experience sharing tool; participation of other colleagues; willingness to share personal experience	Lack of time; interferences with other activities Username and password forgotten Fear to publicly share personal views online; multiplicity of online fora; limited involvement of other members of the HDMTs by DMOs; little attention to activities not followed by the hierarchy
Related to the facilitation	Frequent reminders (SMS, emails, WhatsApp, phone calls); use of opportunities of some face‐to‐face events to present District.Team; diffusion of other useful information for DMOs	Irregular synthesis of the lessons learnt per cycle Limited face‐to‐face meeting to explain the District.Team concept and design; irregular and poor communication with districts; communication limited to DMOs Irregular and insufficient funding for internet connection fees; thematic chosen by the facilitators without implication of DMOs Some blogs were too long; planning of the cycle not shared with DMOs

Level

Enablers

Barriers

Related to the intervention

Free and simple online platform; individual funding for internet fees; online archiving of exchanges for future access; data requested already available via the routine health information system; virtual design of the project; issues analyzed were relevant to the district level

Irregular electricity supply; poor internet connection; poor design of the electronic checklist; little implication of the central level

Poor communication of the objectives, procedures and content of the project

No implication of DMOs in the design of the Initiative and selection of the issue to be analyzed

Few solutions to address the identified problems; too long delay between some cycles; the platform has too many links to access information

Short duration of the project; some visualizations were complex and difficult to understand

Related to participants

Perception of the usefulness of District.Team; knowledge of internet and computer; perception of District.Team as a learning and experience sharing tool; participation of other colleagues; willingness to share personal experience

Lack of time; interferences with other activities

Username and password forgotten

Fear to publicly share personal views online; multiplicity of online fora; limited involvement of other members of the HDMTs by DMOs; little attention to activities not followed by the hierarchy

Related to the facilitation

Frequent reminders (SMS, emails, WhatsApp, phone calls); use of opportunities of some face‐to‐face events to present District.Team; diffusion of other useful information for DMOs

Irregular synthesis of the lessons learnt per cycle

Limited face‐to‐face meeting to explain the District.Team concept and design; irregular and poor communication with districts; communication limited to DMOs

Irregular and insufficient funding for internet connection fees; thematic chosen by the facilitators without implication of DMOs

Some blogs were too long; planning of the cycle not shared with DMOs

Abbreviations: DMOs, district medical officers; HDMTs, health district management teams; SMS, short message service.