Table 2. Themes identified from the included studies

Theme	Subtheme
*Factors that contribute to …*	*Include …*
A. Making the right kind of changes	1. Design and planning
	2. Values and priorities
	3. Involvement of patients and communities
B. Managing change effectively	4. Organisational context, protected time, and capacity building
C. An enabling environment for change	5. Decision makers and stakeholders
C. An enabling environment for change	6. Key parameters: funding and timing
D. Effective evaluation	7. Availability of data
	8. Quality of evaluation
	9. Standardised approaches
E. Applying what has been learnt	10. Opportunities for shared learning
E. Applying what has been learnt	11. Receptive policy environment