Table 3.

Overview of facilitators of the scale-up of the management strengthening intervention

Scale-up facilitators	Ghana	Uganda	Malawi
Shared vision	-	+	+
Change agents (champions)	±	+	+
Buy-in from key decision makers	-	-	±
Political and financial support	-	-	±
Window of opportunity	-	+	+
Flexible approach	±	+	+
Understanding and using the context of decentralization	-	x	+

 +  = present,—= absent, ±  = not fully present nor fully absent, X = not mentioned by participants