The study population were senior leaders, perceived as influential to PHC, in this setting.
Purposive sampling started with deputy-director generals in the national department of health
and deans at medical schools, with snowball sampling thereafter. Geographical spread and a
balance between academic and governmental respondents guided the sampling. Those with
postgraduate education in family medicine were excluded. The interviews were stopped after
data saturation, with repetition of themes, as identified by the first two authors (SM, RM).