Strengths
NCD
This study is one of few studies examining factors associated with HW normalization and intervention sustainability among NCD services in SSA. We attempted to use a quantitative approach to answer a qualitative question: how well an NCD service intervention programme was sustained according to the perceptions of primary stakeholders such as HWs, health facility and programme managers, patient leaders, and patients. This approach helped us to quantify the various contributory domains as well as to identify areas of strength or weakness that may be amenable to renewed intervention.This study used standardised and previously validated tools to explore aspects of normalization and intervention sustainability. Overall, validity testing for both the normalization tool and PSAT showed fair (α = 0.6) to very good-to-excellent (α = 0.9) reliability respectively. From a qualitative viewpoint, this means that we can have confidence in the findings as a true reflection of the perceptions of this study population.