Table 2. The three CMO Configurations Related to IeDA .
Context | Mechanism | Outcome |
C1. Availability of a support team to be responsive to healthcare staff questions. | M1. Promoting amongst HCWs “doing the right thing the right way” approaches. | O1. Notions of quality in childhood illnesses routinised during consultations. |
C2. In health centres where the nurse is assisted by at least two other members (nurse assistants or outreach workers) and where management flexibility is allowed. | M2. Adaptability of roles before and during child consultations (including triage, weight and size measurements, consultation and counselling) to accommodate the adoption and use of the REC. | O2. Efficient organisation of the health team. |
C3. Strong consensus amongst stakeholders on the benefits of introducing REC. | M3. Introducing at primary healthcare level the notion of individual accountability, belongness and responsibility and collective contribution to the wider system. | O3. Sustained use of REC as a routine practice with no interruption of the functioning of the tool. |
Abbreviations: HCWs, healthcare workers; CMO, context + mechanism = outcome; REC, Registre Electronique de Consultations; IeDA, Integrated electronic Diagnosis Approach.