From the point of view of the research and development
team, our reflections indicate a number of factors which
enable such projects to be successful, namely: building
participants’ capacities by training as well as doing action
planning; empowering leaders who provided support
and were ready to support changes to happen; families
and the community joining hands together; assistance
and coordination by the nurses stationed at the health
facilities; the determination of the family health leaders;
and the ability to adjust strategies to conform according
to the roles within the families and community. These
findings are consistent with the theory of health changing
performances at the primary level, involving changes such
as role aspects, leader functions and facilities, as shown
in a research report by Merzel and D’Afflitti (2003) and
by Bhagabaty and others (2015).