Table 2.

Important considerations for solutions to implementation challenges.

Consideration	Description
Staff buy-in	Implementation solutions need to communicate to clinical, administrative, and support staff that the intervention is relevant to the kinds of patients the clinic serves and solves some of the challenges they encounter in delivering them care.
Clinic fit	Material and approaches to implementation need to fit the clinic’s culture; expectations and practices with regard to disseminating information and adopting new programs; and scheduling, space, time constraints, and other features of the clinic system and its environment.
Multiple and adaptable tools and strategies	There should be many options for implementation tools and strategies that can be customized to meet a given clinic’s needs.
Multiple and diverse champions	Clinics need multiple individuals in diverse roles to promote and support implementation. In the case of the MARSSI implementation, ideally there would be three champions representing medicine, mental health, and family planning.
Representativeness and inclusiveness	Materials used in implementation should be representative and inclusive of the patient and staff populations specific to a clinic. Language should be gender inclusive.