The qualitative sampling procedure was multilevel in nature, whereby the sample comprised 39 key informants purposively selected at regional and at district level. Participants ranged from regional leaders, technical advisors for the CHF, district leaders (public administrators and elected leaders), to frontline implementers (CHF officers and enrolment officers).

The respondents at regional level were selected based on their capacity and position to provide information related to the support given to the districts in implementing the CHF scheme, but also their knowledge on contextual influencers of the implementation process. The respondents at the regional level included the regional secretariat members (N = 7) and the development partners operating at regional level (N = 6).

Respondents from district levels were selected based on their experiences with the redesigned CHF, their position in the scheme and the expected knowledge they had about the scheme processes. They came from three districts: D3, D4 and D6, which had high, average and low enrolment rates respectively, in relation to the baseline values since the start of the CHF Iliyoboreshwa. The respondents at the district level included district leaders (N = 8), such as District commissioner and frontline implementers (N = 18) such as CHF manager, accountant and CHF officers. The frontline implementers were included in this part of the study to verify the information provided at district level in terms of the support provided to the village level actors.

Table 1 provides a summary of the sample size for the quantitative and qualitative sources of data.

Sample sizes for the study

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