Table 2 Organized themes and subthemes from the interviews

Advantages

1. Specific support

• Infrastructure/equipment

Disadvantages

2. Leadership: power to control and coordinate external resources

• Competing agendas

• Parallel systems

• Accountability

• Capacity of negotiation

3. Inequalities within the National Health System

• Lack of integration

• Refresher training

• Neglected services and infrastructure

4. Internal brain drain

• Impact of exodus from public sector to NGOs

• Salaries and work conditions

• Upgrading skills