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. 2025 Aug 19;91(1):52. doi: 10.5334/aogh.4758

Table 1.

Themes, definitions, operationalization of implementation outcomes, and excerpt inclusion criteria for each outcome.

IMPLEMENTATION OUTCOME/THEME EQUIR DEFINITION OPERATIONALIZATION EXCERPT INCLUSION CRITERIA
Adoption The intention or utilization of key elements for implementation The initial decision and main mechanisms to execute the intervention The excerpts referring to the intention, initial decision or action to try to employ a new intervention
Fidelity Adherence of disadvantaged populations to the original intervention How the intervention evolved and changed as challenges were encountered Excerpts referring to the degree to which the intervention was implemented as it was designed in an original protocol, plan, or policy. In this emergency case, no such plans or protocols existed at the outset. This criterion captures the decision-making iterations that built the final response, highlighting the elements of improvisation and “learning as you go”
Cost Financial and non-financial costs involved in the implementation of equity-focused elements Elements of the intervention requiring goods, and human or financial resources Excerpts referencing any goods involved in the delivery of the strategy; personnel, as well as mentions to the purchase or donation of goods and inputs, e.g. any mention of human and financial resources, number of goods such as water tanks, bottles, and liters
Acceptability Satisfaction of stakeholders with the implementation Reactions to the government strategy Excerpts referencing the perception of stakeholders (e.g. consumers, providers, managers, policy-makers)
Coverage Degree of reach, access, and coverage of the intervention among the disadvantaged population Rationale to define the target population Excerpts regarding the degree to which the population that was eligible to benefit from the strategy actually received it
Feasibility Extent to which a program can be carried out in any setting, especially among disadvantaged populations Contextual characteristics that resulted in variations in the implementation of the intervention Excerpts mentioning the extent to which the strategy could be carried out in specific settings
Appropriateness Relevance or perceived fit of the implementation in the disadvantaged population Common barriers in the target population to using the intervention Excerpts that mention the perceived fit or relevance of the intervention in a particular setting or for a particular target audience (e.g. provider or consumer)
Sustainability Maintenance, continuation, or durability of the program through short, medium, and long-term strategies Actions that originated during the emergency and remain in place Excerpts referring to the extent to which elements of the intervention were maintained or institutionalized in a given setting