Table 6.
Example indicators of implementation outcomes stratified by main themes and level of measurement
| Level of measurement | Implementation Outcomes | ||
|---|---|---|---|
| Acceptability | Appropriateness | Feasibility | |
| Theme 1: Uptake/Adoption | |||
| Client |
Adherence [Chile, OTCH] Number of follow up visits and referral slips [Nepal, RESHAPE] |
Recommending services to others [Nepal, RESHAPE] |
Satisfaction with services and the professionals providing those services [Chile, OTCH] Willingness to follow the program [Chile, OTCH] How well the program is adopted by users [Chile, OTCH] |
| Provider | -- | Willingness to use and follow the program [Chile, OTCH] | -- |
|
Facility/ Clinic |
-- | -- |
Adaptation and integration of services into the existing program [South Africa, SMhINT] Program is delivered as planned [South Africa, SMhINT] |
| Theme 2: Effectiveness/Impact | |||
| Client |
Perceived usefulness of the program [Chile, OTCH] Number of clients referred to counseling who actually go (South Africa, SMhiNT) |
Perception of program’s helpfulness for client’s health issues and other aspects of life [Chile, OTCH] Improvements in outcomes [Nepal, RESHAPE] |
Reduction in symptoms [South Africa, SMhINT] Program helps patients with health needs [Chile, OTCH] |
| Provider |
Value assigned to the program as an opportunity to grow professionally [Chile, OTCH] Ability of provider to identify client’s ‘pressing issue’ (South Africa, SMhiNT) |
Seeing improvements in patients [Chile, OTCH] | -- |
| Theme 3: Resource Constraints | |||
|
Facility/ Clinic |
Number of providers, availability of physical space, availability of time to be trained [Chile, OTCH] |
Adequate space and time [Chile, OTCH] Support from headquarters [Chile, OTCH] |
Sufficient staff, availability of Counselors, inadequate physical space [South Africa, SMhINT] Medical roster identifying number of available health personnel [Nepal, RESHAPE] |
| Theme 4: Stigma | |||
| Client |
Preference for separate mental health counseling and HIV counseling rooms [South Africa, SMhINT] Issues of privacy, safety, confidentiality [South Africa, SMhINT] |
-- | -- |
| Provider |
Preference for ‘Counselor’ vs. ‘Mental Health Counselor’ title [South Africa, SMhINT] Handling of sensitive data [Nepal, RESHAPE] |
Measuring attitudes towards the mental health services [South Africa, SMhINT] | Sense that peer providers, by modeling recovery and reducing stigma, can enhance patient wellbeing [ South Africa, SMhINT] |
|
Facility/ Clinic |
-- | Facility has the space and resources for confidential information sharing between clients and providers [Nepal, RESHAPE] | -- |