Table 1 Study summary box. Overview of mixed methods implementation assessment: implementation frameworks, selected dimensions, qualitative questions / quantitative indicators, method, data sources and participants / settings
Framework: selected dimension | Qualitative questions / quantitative indicators | Method: data sources | Participants / settings |
|---|---|---|---|
RE-AIM: Reach | Representativeness: Are characteristics of study health facilities / communities representative of the larger population? | Quant: Programmatic data; census data | Municipal health centers and health posts |
RE-AIM: Implementation | Implementation delivery: Are key program indicators (hypertensive medications, team meetings) consistently delivered over time? | Quant: programmatic data | Municipal health centers and health posts |
Why and how was the program adapted? | Qual: In-depth interviews | Study staff, MoH providers and administrators | |
PRISM: Organizational perspective on the program | What are the perspectives of health district’s providers and administrators on the program? | Qual: In-depth interviews | Study staff, MoH providers and administrators |
PRISM: Fit between program and health district | How did health district-level factors facilitate or hinder the program implementation? | Qual: In-depth interviews | Study staff, MoH providers and administrators |
PRISM: Implementation and sustainability infrastructure | What needs to be available at health facilities for the program to be implemented and sustained? | Qual: In-depth interviews | Study staff, MoH providers and administrators |
Health equity considerations | What are the potential sources of unequal implementation between health facilities and community subgroups? What type of program adaptations may reduce or promote equitable implementation? | Qual: In-depth interviews Mixed methods: Meta-inferences across qual and quant results | Study staff, MoH providers and administrators All participants and settings |
Sustainability considerations | What contextual changes may threaten program sustainability? What type of program adaptations may influence its implementation delivery and its sustainability? | Qual: In-depth interviews Mixed methods: Meta-inferences across qual and quant results | Study staff, MoH providers and administrators All participants and settings |