Systems map of the interconnections and feedback loops influencing the degree of FCHVs’ pleasant and unpleasant experiences in the diabetes intervention.

The solid blue lines show positive polarity, meaning, a variable is impacted in the same direction of change by another variable. For example, when social trust increases, recognition also increases. The dashed red lines show negative polarity, meaning, a variable is impacted in the opposite direction of change by another variable. For example, when the dilemma among FCHVs increases, their pleasant experience decreases. Parallel blue lines in the arrow show delayed effect, meaning, it takes some time to show the effect of a variable in another variable. For example, the level of reciprocity was shown quite late by the service recipients after a continuous dedication of FCHVs.