From: Sexual and reproductive health implementation research in humanitarian contexts: a scoping review
CFIR Domain | CFIR Construct | Description of factors cited with construct | Papers including as factor that helps when present | Papers including as factor that is a barrier when absent |
---|---|---|---|---|
Characteristics of Systems | Systems architecture | Referral services and public health infrastructure | Castillo et al., Myers et al | Amsalu et al. [65], Awasom-Fru et al., Edmond et al. [23], Kabakian-Khasholian et al., Myers et al., Phanwichatkul et al., Sami et al. [64], Sarker et al |
Transportation access and infrastructure | –b | Castillo et al., Edmond et al. [36], Jarrett et al., Klabbers et al., Orya et al., Perera et al., Sarker et al | ||
Resource continuity | Disaster and disruption preparedness | Myers et al., O’Connell et al | – | |
Service reliability | Edmond et al. [23] | – | ||
Supply chain reliability | Myers et al., O’Connell et al., Persson et al., Sarker et al | Adam [26], Devine et al., Guan et al., Sarker et al | ||
Sustainable source of funding | Morris et al | Tousaw et al. [51] | ||
Resource source | Intervention-specific funding | Guan et al | ||
Outer Setting | Patient needs and resources | Focus and adequacy of intervention relative to community need | – | Guan et al., O’Connell et al |
Cosmopolitanism | Partnerships and coordination with NGOs and other organizations | Awasom-Fru et al., Glass et al., Guan et al., Klabbers et al., Morris et al., O’Connell et al | Castillo et al., Myers et al., Sarker et al | |
Cosmopolitanism | Government partnerships | Castle et al., Draiko et al., Myers et al., O’Connell et al., Persson et al | Guan et al | |
External policy and incentives | Governmental or other policy, or existing legal structure supportive of intervention | Persson et al | Awasom-Fru et al., Foster et al., Persson et al., Tousaw et al. [52], Yankah et al | |
Community characteristics | Community and patient health literacy | – | Ho and Wheeler, Perera et al., Stevens et al | |
Cultural factors affecting intervention impact | – | Gibbs et al., Klabbers et al., Muuo et al., O’Connell et al., Perera et al., Persson et al., Santo et al | ||
Population stability | Adam [26] | – | ||
Trust and acceptance of health intervention | Adam et al., Draiko et al | Adam et al., Edmond et al. [36], Edmond et al. [37], Klabbers et al., Mugo et al., Sami et al. [71], Thommesen et al., Tousaw et al. [52], West et al | ||
– | Security for intervention access | – | Adam [26], Gibbs et al., Jarrett et al., Muuo et al., Sami et al. [64], Tanabe et al., Thommesen et al | |
– | Staff and site security | Sarker et al | Castillo et al., Edmond et al. [36], Edmond et al. [37], Gibbs et al., Klabbers et al., Mugo et al., Sami et al. [71], Sarker et al., Tanabe et al., Tran et al. [58] | |
– | Other effects of conflict or crisis | – | Awasom-Fru et al | |
Inner Setting | Culture | Culture of provider-patient trust establishment | Adam et al., Klabbers et al., Lilleston et al., Persson et al., Phanwichatkul et al., Tanabe et al., Thommesen et al., Tousaw et al. [51], Tousaw et al. [52] | Kabakian-Khasholian et al., Phanwichatkul et al., Thommesen et al., West et al |
Confidentiality | Castle et al., Deitch et al | Kabakian-Khasholian et al., Klabbers et al., Muuo et al., Yankah et al | ||
Implementation climate: compatibility | Organizational support for intervention | Awasom-Fru et al., Guan et al | Awasom-Fru et al | |
Implementation climate: organizational incentives and rewards | Staff retention and adequate compensation | Edmond et al. [36] | Berg et al., Bolan et al., Mugo et al., Orya et al., Sarker et al., Thommesen et al | |
Implementation climate: learning climate; collective efficacy | Culture of provider and staff empowerment | Berg et al., Hynes et al., Lilleston et al., Sarker et al., Smith et al | Bolan et al | |
Readiness for implementation: available resources | Adequate providers and staff to support intervention | Castle et al., Edmond et al. [36], Guan et al., Jarrett et al., Persson et al., Turner et al | Awasom-Fru et al., Edmond et al. [36], Mugo et al., Myers et al., Phanwichatkul et al., Sami et al. [71], Sami et al. [64], West et al | |
Adequate space and facility infrastructure to support intervention | – | Berg et al., Bolan et al., Mugo et al., Myers et al., Persson et al., Sami et al. [71], Thommesen et al | ||
Availability of needed supplies | Castle et al., Hynes et al., O’Connell et al., Persson et al | Bolan et al., Devine et al., Guan et al., Mugo et al., Sami et al. [64], Thommesen et al., Tran et al. [74] | ||
Functional health information system | Castle et al | |||
Readiness for Implementation: – | Organizational policies adapted to, conducive to or supportive of intervention | Ho and Wheeler, O’Laughlin et al. [20], Smith et al | ||
Team characteristics | Consistency in provider quality | – | Greene et al., Guan et al | |
Provider sense of moral duty | Awasom-Fru et al | – | ||
Characteristics of Individuals | Knowledge and beliefs about the intervention | Knowledge of intervention importance | Sami et al. [71] | Perera et al |
Individual stage of change | Openness of provider to intervention | Castle et al., Lilleston et al., Tanabe et al., Thommesen et al., Tran et al | ||
Intervention Characteristics | Evidence strength and quality | Community education: communication campaigns | Bolan et al., Casey et al., Ho and Wheeler, Morris et al., Muuo et al., Tousaw et al. [51] | – |
Community education: other | Bakesiima et al., Tanabe et al | Myers et al., Tousaw et al. [51] | ||
Mechanism for patient tracking and follow-up | Foster et al., Castle et al | Vries et al | ||
Provider training | Berg et al., Casey et al., Castle et al., Ho and Wheeler, Morris et al., O’Connell et al., Persson et al., Tanabe et al., Tran et al. [58], Tran et al. [74], Turner et al | Edmond et al. [37], Ho and Wheeler, Mugo et al., Sami et al. [71], Sami et al. [64], Tran et al. [74] | ||
Provider or staff training: indirect (train the trainer) | Amsalu et al. [65], Castillo et al | – | ||
Provider or staff training: refresher training | Amsalu et al. [65] | Berg et al., Guan et al | ||
Staff training | – | Myers et al | ||
Supportive supervision | Amsalu et al. [65], Casey et al., Castillo et al., Castle et al., Edmond et al. [36], Ho and Wheeler, Jarrett et al., Smith et al | Castillo et al., Tran et al. [74] | ||
Adaptability | Camp- or community-based, or mobile services | Adam et al., Casey et al., Ferreyra et al | – | |
Home-based services | Adam [21], Adam [26], Adam et al., O’Laughlin et al. [25], Vries et al | – | ||
Other factor increasing accessibility | Devine et al., Klabbers et al., Logie et al. [19] | Devine et al., O’Laughlin et al. [20] | ||
Care provision adapted to situational needs | Berg et al., Corna et al., Doocy et al., Draiko et al., Ferreyra et al., Foster et al., Jarrett et al., Kabakian-Khasholian et al | – | ||
Culturally appropriate gender involvement | Hossain et al., West et al | Adam et al., Lilleston et al., Perera et al., Thommesen et al | ||
Intervention provider or staff from target population | Adam et al., Jarrett et al., O’Connell et al., O’Laughlin et al. [25], Orya et al., Thommesen et al | – | ||
Complexity | Ease of implementation | Jarrett et al | – | |
Design quality and packaging | Appropriate intervention modality | Bolan et al., Corna et al., Ferreyra et al., James et al., Khan et al., Klabbers et al., Logie et al. [70], Morris et al., Muuo et al., Persson et al., Santo et al., Tran et al. [58], Yankah et al | Nasir et al., Santo et al | |
Patient and community perception of high quality care from intervention | Castle et al., Deitch et al., Gibbs et al., Muuo et al., Perera et al., Thommesen et al., Tousaw et al. [51], Tousaw et al. [52], Turner et al | Deitch et al., Edmond et al. [36], Perera et al | ||
Provision of needed and appropriate supplies | Amsalu et al. [65], Berg et al., Bolan et al., O’Laughlin et al. [25], Turner et al | |||
Cost | Adequate funding of intervention | Lilleston et al | Sarker et al., Stevens et al | |
Perceived scalability | Scalability | Draiko et al | – | |
Perceived sustainability | Sustainability | – | Jarrett et al., Klabbers et al | |
Process | Planning | Community involvement in design | Draiko et al., O’Connell et al | – |
Cultural awareness during development | – | James et al | ||
Engaging: External change agents | Community leader engagement | Castle et al., Klabbers et al., Le Roux et al., Lilleston et al., Myers et al., Santo et al | Myers et al., O’Connell et al | |
Engaging: – | General community engagement and mobilization | Adam et al., Draiko et al., Foster et al., Gupta et al., Ho and Wheeler, O’Connell et al., Orya et al., Tousaw et al | Edmond et al. [36], Lilleston et al., Mugo et al | |
Executing | Accomplishing implementation according to plan | – | Guan et al., Jarrett et al | |
Reflecting and evaluating | Incorporation of reflection | Berg et al | – |