Table 8.
The six most frequently reported barriers for implementation in ANC, CHC, dental services and open pre-schools
|
Most frequently reported barriers |
Seminar 2 |
Seminar 4 |
Change |
Level |
|---|---|---|---|---|
| % (n) | % (n) | S2-S41 | ||
|
Antenatal care |
N2=27 |
N=14 |
|
|
| Workload and shortage of time/staff/resources |
89 (24) |
57 (8) |
➘ |
Organisational context |
| Geographical distance to collaborators |
33 (9) |
0 |
➘ |
Organisational context |
| Topics and questionnaires experienced as sensitive/intrusive or too extensive |
19 (5) |
50 (7) |
➚ |
Parents/clients |
| Difficult to start or maintain collaborative relations |
26 (7) |
29 (4) |
➚ |
Social context |
| Competing goals, demands and work tasks |
22 (6) |
14 (2) |
➘ |
Professionals |
| Collaborative partners missing |
22 (6) |
7 (1) |
➘ |
Social context |
|
Child health care |
N=48 |
N=37 |
|
|
| Workload and shortage of time/staff/resources |
92 (44) |
89 (33) |
➘ |
Organisational context |
| Competing goals, demands and work tasks |
58 (28) |
41 (15) |
➘ |
Professionals |
| Collaborative partners missing |
15 (7) |
46 (17) |
➚ |
Social context |
| Insufficient managerial involvement/support (different levels) |
27 (13) |
30 (11) |
➚ |
Social context |
| Geographical distance to collaborators |
25 (12) |
41 (15) |
➚ |
Organisational context |
| Difficult to start or maintain collaborative relations |
23 (11) |
24 (9) |
➚ |
Social context |
|
Dental services |
N=19 |
N=16 |
|
|
| Workload and shortage of time/staff/resources |
89 (17) |
31 (5) |
➘ |
Organisational context |
| Lack of motivation/interest/time/capacity or resources (parents/clients) |
53 (10) |
25 (4) |
➘ |
Parents/clients |
| Difficult to start or maintain collaborative relations |
32 (6) |
44 (7) |
➚ |
Social context |
| Competing goals, demands and work tasks |
26 (5) |
19 (3) |
➘ |
Professionals |
| Lack of or conflicting financial incentives |
26 (5) |
6 (1) |
➘ |
Economic and political context |
| Insufficient managerial involvement/support (different levels) |
16 (3) |
25 (4) |
➚ |
Social context |
|
Open pre-schools |
N=15 |
N=15 |
|
|
| Workload and shortage of time/staff/resources |
60 (9) |
73 (11) |
➚ |
Organisational context |
| Insufficient work facilities of supplies |
53 (8) |
7 (1) |
➘ |
Organisational context |
| Difficult to start or maintain collaborative relations |
47 (7) |
53 (8) |
➚ |
Social context |
| Geographical distance to collaborators |
40 (6) |
20 (3) |
➘ |
Organisational context |
| Insufficient managerial involvement/support (different levels) |
13 (2) |
47 (7) |
➚ |
Social context |
| Lack of motivation/interest/time/capacity or resources (parents) | 40 (6) | 20 (3) | ➘ | Parents/clients |
1 ➚=Increase, ➘=decrease
2 N=total number of professional in each professional group.