Table II.

Cross-case distribution of implementation determinants and implementation strategies

CFIR Implementation Domain and Implementation Determinants			Implementation Strategies Used
			Ghana			Nigeria		Kenya		Tanzania		United States
			Auntie’s Corner	HIVE 3	Nyansapo	iTest	iCare	ESYHI	PNP	STEP	SYV	MEI
Barriers	Outer Setting
	1.	Patients’ needs and resources	—	—	AD	MM	MM	—	—	—	—	AP, NW, TS
	2.	External policies and incentives	BC	AD, BC	BC	BC, CM	BC, CM	NW, SC	NW, SC	—	—	—
	Inner Setting
	3.	Tension for change	BC, CM	BC, CM	—	BC, CM	BC, CM	—	—	—	AR	—
	4.	Relative priority	—	—	—	—	—	AR, NW	AR, NW	—	—	—
	Process
	5.	Engaging external change agents	—	—	—	—	—	NW	NW	—	—	—
Facilitators	Intervention Characteristics
	1.	Intervention source	IP, OC	OC	YY	—	—	—	—	—	—	—
	2.	Evidence strength and quality	YY	YY	YY	MM	MM	—	—	CM, MM	YY	YY
	3.	Relative advantage	YY	YY	—	—	—	—	—	—	—	—
	4.	Adaptability	AD	—	—	—	EM, TA	—	—	—	—	—
	Outer Setting
	5.	Patients’ needs and resources	YY	IP	IP, AP	AB, EM, IP	AB, EM, IP	IP, TS, SC	IP, TS, SC	CM, IP	AB, IP	IP
	6.	Peer pressure	CM	—	YY	—	—	—	—	—	—	—
	7.	Cosmopolitanism	—	—	—	—	—	NW	NW	—	—	—
	8.	Networks and Communication	—	—	—	—	—	NW	NW	—	—	—
	Inner Setting
	9.	Compatibility	TA	AF, TA	YY	—	EM, TA	—	—	MM	—	—
	10.	Relative priority	YY	YY	—	—	—	—	—	—	—	—
	11.	Leadership engagement	BC	—	BC	BC	BC	IP	IPP	BC	—	—
	Process
	12.	Reflecting and evaluating	AF, OT, TA	AF, OT, TA	AF, TA	—	—	—	—	CD	—	—