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Table 5 Factors cited as impacting SRH interventionsa

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

Edmond et al. [23], Sami et al. [64]

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

Amsalu et al. [65], Sami et al. [64], Sarker 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

Awasom-Fru et al., Sami et al. [71], Sami et al. [64]

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

Persson et al., Sami et al. [71], Sami et al. [64]

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

Amsalu et al. [65], Sami et al. [71], Tran et al. [74]

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

  1. aconstruct in italics if the description is considered to align with that factor by label but not by definition
  2. b “—” denotes that no papers included that aspect of a given construct