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 |
MoH Ministry of Health, N/A not applicable