Building on the individual discussions, the second phase involved an interactive workshop with nine managers in the provincial DOH, from programmes and directorates relevant to the health challenges identified by the communities during the pilot phase and first cycle of the programme, including PHC, MCWYHN, HIV/AIDS and tuberculosis, and community-based services. An invitation to the workshop was forwarded to the health authority, with an indication of the relevant programmes, and the final attendees were selected by the health authority. The workshop was facilitated by the researchers and guided by a semi-structured agenda, to allow for discussions to be focused but flexible according to participants’ inputs. Findings from the individual stakeholder discussions (described above) were presented to the workshop participants, along with an initial consideration by the researchers on mechanisms to integrate the learning platform into routine health system processes. This was followed by a discussion on the contexts and mechanisms of change and the outcomes, as reflected in the theory of change framework, of the first cycle and insights for the planning of future programme cycles, as well as the levels and mechanisms for integration of the VAPAR programme into the provincial health system. The levels and functions for integration of the VAPAR programme into the provincial health system was captured and displayed electronically during the provincial workshop, allowing for further deliberation and consensus-building. A report of the workshop was shared with participants for validation.

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