Table 3. Examples of activities identified in the interviews and how they were coded at the different levels of the ILF.

Level	Example activities in the interview data
Paradigm	Making sure that all of that is up to date with current best practice processes as well This needs to be implemented because it’s evidence-based resource Community engagement Population-based approach Primary prevention Community engagement A coordinated approach across sectors
Goals	Aligning with the national quality framework Working with education, early childhood, healthcare workers and allied health Joint goals
System structure	Memorandums of Understanding Working to integrate ear health into the curriculum at university level Aligning ear health with national quality frameworks for early education Supporting the curriculum of early educators and teachers Being on an advisory group to develop a strategy for early years training
Knowledge, feedback and delays	Feedback on resources needed (e.g. posters) Conference presentation Feedback within communities Feedback on activities undertaken provided to Steering Committee Acting as an information bridge across sectors Clinical data
Structural elements	Developing online professional development and support for teachers who teach in schools Delivering presentations at the teachers, nurses and therapists forums Provision of training Provision of Sound Amplification Systems to schools and classroom acoustic modifications Social marketing Informal discussion with teachers and supporting early child educators within the communities Supporting guidelines for child health checks to include ear and hearing health checks Practical workforce clinical development Provision of clinical guidelines Sharing information with healthcare workers and educators that can be passed onto the community Developing scripts that maternal and child healthcare workers can use with mothers Working with play groups in the communities Delivery of ear nose and throat clinical services Clinical student placements