Table 3 Challenges of implementation of a multi-level intervention to reduce mistreatment of women during childbirth; CFIR domains and constructs/ sub-constructs
CFIR domain | CFIR construct/ sub-construct | Interventions (Level/ name) | ||||
|---|---|---|---|---|---|---|
Individual | Healthcare provider | Hospital | National health system | |||
Childbirth preparation classes | Presence of birth companions | Integrating RMC into in-service training | Evaluating the performance of MHCPs about mistreatment and/or RMC | Implementation of pain relief during childbirth guidelines | ||
Intervention characteristics | Adaptability | ✓ | ||||
Design quality and packaging | ✓ | |||||
Outer setting | Patient needs and resources | ✓ | ✓ | ✓ | ||
Cosmopolitanism | ✓ | ✓ | ||||
External policies and incentives | ✓ | ✓ | ✓ | |||
Inner setting | Structural characteristics | ✓ | ||||
Networks and communications | ✓ | |||||
Culture | ✓ | |||||
Compatibility | ✓ | |||||
Relative priority | ✓ | |||||
Organizational incentives and reward | ✓ | |||||
Available resources | ✓ | ✓ | ✓ | |||
Access to knowledge and information | ✓ | ✓ | ||||
Characteristics of individuals involved | Knowledge and beliefs about the intervention | ✓ | ✓ | |||
Other personal attributes | ✓ | ✓ | ✓ | |||
Process of implementation | Executing | ✓ | ✓ | ✓ | ||
Reflecting and evaluating | ✓ | ✓ | ✓ | ✓ | ||