Endorsement from the municipal health officer and mayor

Availability of human resources for health

Positive reception of the Konsulta package by local health teams

Close proximity of the primary care services to households

Lack of support from local chief executive

Insufficient human resources

Inadequate financial support for conducting mass registration activities

Considerable distance from the site of registration and profiling

Availability of vaccines and family planning commodities

Involvement of the family decision-maker

Presence of physician for patient persuasion, in contrast to other health care workers

Misinformation by organized local groups

Absence of vaccines and family planning commodities

Timing of profiling activity (weekdays meant fewer working individuals and more senior citizens)

High interest of municipal health officers

Provision of incentives for municipalities committed to implementation (i.e., augment human resources)

Initial funding for the hiring of medical consultants to provide technical support

Obtaining approval from local legislative body to participate in the intervention takes time

Unfavorable perception of the current capitation amount of the primary care benefit package considered to be below the market cost

Existence of efficient knowledge-sharing channels through multistakeholder group chats and frequent meetings

Effective utilization of weekly reports and regular feedbacking of implementation challenges

Lengthy process in securing primary care facility accreditation from public health insurance

Lack of resources to conduct mass registration in certain settings

Commitment of local chief executives and municipal health officers to generate reimbursements from implementing the intervention

Lack of support from local chief executives

Inadequate national-level support to address broader issues, such as accreditation of electronic medical records and changes and agile policies to respond to diverse circumstances