Table 1 Summary table of themes and subthemes

Processes of actual implementation

School selection and entry

Relational links

Impacts of poor mobilization

Perceptions of policy content

Poor knowledge on policy content

Uncertainty in delivering the content

Dissatisfaction with programme content.

Contextual factors affecting implementation

Barriers to tooth brushing programme

High service demands

Inadequate infrastructure and equipment

School food environment

Actors influencing the implementation process

Oral Hygienists

Teachers

Parents

Dental assistants

Snack vendors