Table 1 Content analysis process for the categories

• Existence of a guideline to operationalize the exemption policy

• Existence of a rigorous process for identifying the elderly who deserve exemption

• Presence of specific windows dealing with the elderly in the health facilities

• Existence of a clear administrative structure from the district to the community level dealing with elderly social welfare

A supportive environment for the implementation of the exemption policy

• Lengthy and bureaucratic procedure in accessing exemptions

• Lack of clarity on groups deserving exemption

• Exemption limited to public health facilities

Pragmatic challenges facing the implementation of the exemption policy

• The financial burden of the exemptions to the Health Facility

• Lack of defined mechanisms to finance the exemptions

• Limited interest of stakeholders to finance the healthcare of the elderly

Financial hurdles facing implementation of the exemption policy