Table 3 Implementation challenges and solutions suggested by stakeholders in Uganda

Community level stakeholders

- Lack of follow up of clients

- Strengthen supervision to ensure follow up of clients and effective use of funds

- Inadequate sensitization of beneficiaries

- Sensitize communities/TBAs, women groups/men

- Poor quality health services (Lack of medicines, few health providers, rude nurses, unofficial payments for supplies),

- More equipment and supplies in facilities and provide an ambulance or voucher for a taxi to take patients to higher levels

- Problems with referral transport and low male involvement

- Extend voucher scheme to other sick people, rather than pregnant mothers alone

- Poor infrastructure

- Male involvement e.g. through escorting their wives to facilities especially at night, and financial contribution

District level stakeholders

-Sustainability of the intervention

- Sensitize community through community leaders (to mobilize the men to take part in reproductive health care)

- Lack of required infrastructure, resources

- Sensitize and build capacity for health workers to provide quality services in an integrated manner

– supplies, equipment and health workers

- Add ambulance services to supplement the motorcyclists.

- Communities should contribute finances

National level stakeholders

-Sustainability of the project

- Have discussions with stakeholders (Members of Parliament/speaker/ministry of health, etc.) to promote implementation of project

- Lack of required infrastructure, resources

- Implement through existing systems e.g. the VHT

– supplies, equipment and health workers

- Conduct implementation research based on MOH strategic plan

- Paying transporters enough

- Collaboration with developmental partners, line

money so that they continue their work actively

ministries and local council members to improve the infrastructure

- Regular meetings between project implementers and other stakeholders