Table 7.

Emerging Contextual Factors influencing the Implementation of EmONC

Context	Themes	Categories
Culture	Resources for EmONC	• Human resources • Material resources • Technical knowledge resources
	Demand for EmONC	• Belief system • Affordability of EmONC cost
Leadership	Efficiency of Funding	• Politics and policy making (free health versus out-of-pocket payment for healthcare • Government commitment to funding health • Dysfunctional healthcare system
	Institutional Leadership	• Receptive context • Role models for EmONC • Managerial attitude • Locus of decision
Evaluation	Performance Evaluation	• Review and educational meetings • Feedback on cases of obstetric complications • Perceived success in EmONC implementation