Table 4A.
Consensus statements on technical capacity for health promotion, with analysis of Likert scales
| Category/criteria | Technical capacity needed (elements that need to be available) | Top quartile | 50th percentile | Median (IQR) | ||
| Likert 1 | Likert 2 | |||||
| N | % | N | % | |||
| 1. Intervention characteristics | ||||||
| Basic product design | ||||||
| Stability: usable lifetime and risk of destruction | Posters that promote eye health. | 7 | 77.8 | 9 | 100 | 1 (1–1) |
| Durable posters are available. | 4 | 44.4 | 9 | 100 | 1 (1–2) | |
| Standardisability: the degree to which an intervention can be standardised | Standardised posters available to deliver the same message per target group. | 5 | 55.6 | 9 | 100 | 1 (1–2) |
| Posters available in the language of the community. | 6 | 66.7 | 7 | 77.8 | 1 (1–2) | |
| Posters with self-explanatory graphics available for the non-literate. | 8 | 88.9 | 9 | 100 | 1 (1–1) | |
| Different types of posters available for different target groups that are appropriately displayed. | 5 | 55.6 | 8 | 88.9 | 1 (1–2) | |
| Number of different types of equipment needed. Maintenance needed | Health promotion materials available that are easy to maintain. | 5 | 55.6 | 9 | 100 | 1 (1–2) |
| A system for the easy procurement of health promotion materials. | 6 | 66.7 | 9 | 100 | 1 (1–2) | |
| 2. Delivery characteristics | ||||||
| Facilities | ||||||
| Retail sector, outreach services, first-level care and hospital care | Health promotion in the community that includes young children and their carers, persons with diabetes and the elderly as their target audience. | 4 | 44.4 | 9 | 100 | 1 (1–2) |
| Time, space and willingness to deliver opportunistic eye health promotion to groups in the facility. | 7 | 77.8 | 8 | 88.9 | 1 (1–1) | |
| Time and the willingness to deliver opportunistic eye health promotion to targeted individuals in the facility, for example, persons with diabetes. | 5 | 55.6 | 7 | 77.8 | 1 (1–2) | |
| Human resources | ||||||
| Skill level required for service provision | Staff skilled in communicating with community members. | 7 | 77.8 | 9 | 100 | 1 (1–1) |
| Staff who are knowledgeable about community, eye diseases and where to access care. | 7 | 77.8 | 9 | 100 | 1 (1–1) | |
| Village health workers resident in the community who are able to deliver health promotion. | 6 | 66.7 | 9 | 100 | 1 (1–2) | |
| Facility-based staff who are able to deliver health promotion. | 5 | 55.6 | 9 | 100 | 1 (1–2) | |
| Professionals to train staff on eye health promotion and develop health promotion materials. | 9 | 100 | 9 | 100 | 1 (1–1) | |
| Skill level required for staff supervision. Degree of supervision required | Supervisors who are able to supervise health promotion activities including eye health. | 7 | 77.8 | 9 | 100 | 1 (1–1) |
| Intensity of professional services in terms of frequency or duration, for example, on schedule/periodic or continuous to accommodate emergencies | Staff who regularly deliver health promotion on schedule. | 7 | 77.8 | 9 | 100 | 1 (1–1) |
| Need for managerial staff: management and planning requirements | Existing managerial staff who plan and organise target audience to be sensitised in appropriate locations, for example, carers of young children. | 5 | 55.6 | 9 | 100 | 1 (1–2) |
| Communication and transport | ||||||
| Dependence of delivery on communication and transport infrastructure: telephones and roads | Local transport infrastructure to visit communities. | 6 | 66.7 | 7 | 77.8 | 1 (1–2) |
| Need for substantial exchange of information between different sectors or levels of care | Appropriate communication channels between the community and frontline health facilities. | 8 | 88.9 | 9 | 100 | 1 (1–1) |
| Staff who are able to communicate in the local language. | 9 | 100 | 9 | 100 | 1 (1–1) | |
| 3. Government capacity requirements | ||||||
| Regulation/legislation | ||||||
| Need for legislation/regulation, monitoring regulatory measures and enforcement of regulation | Health promotion materials that have been approved and endorsed by local regulatory authorities. | 5 | 55.6 | 8 | 88.9 | 1 (1–2) |
| Eye health promotion activities that are recorded and monitored. | 4 | 44.4 | 7 | 77.8 | 1 (1–1) | |
| National blindness prevention strategy that incorporates eye health promotion. | 9 | 88.9 | 8 | 88.9 | 1 (1–1) | |
| Need for sophisticated management systems and managerial staff. Level of management and planning requirements | Existing managerial structures for health promotion that can be used to manage eye health promotion. | 4 | 44.4 | 7 | 77.8 | 2 (1–2) |
| Collaborative action | ||||||
| Need for intersectoral action within government. Need for partnership between government and civil society | Intersectoral activities within government or partnerships between government and civil society. | 6 | 66.7 | 9 | 100 | 1 (1–2) |
| Existing school health programmes. | 3 | 33.3 | 7 | 77.8 | 2 (1–2) | |
| Need for partnership between government and external funding agencies | Collaborations with NGOs to provide health promotion. | 1 | 11.1 | 7 | 77.8 | 2 (1–2) |
| Collaboration between communities and frontline health communities. | 7 | 77.8 | 9 | 100 | 1 (1–1) | |
| 4. Usage characteristics | ||||||
| Ease of use | ||||||
| Need for information and education | Communication channels with community to inform target population. | 9 | 88.9 | 9 | 100 | 1 (1–1) |
| Need for supervision | Staff to supervise health promotion activities. | 9 | 88.9 | 9 | 100 | 1 (1–1) |
| Pre-existing demand | ||||||
| Need for promotion | Staff who engage in health promotion that includes the uptake of eye care when required. | 9 | 88.9 | 9 | 100 | 1 (1–1) |
| Black market risk | ||||||
| Need to prevent resale/counterfeiting | Staff who engage and train traditional healers to identify and refer eye conditions, with a system to support training. | 7 | 77.8 | 9 | 100 | 1 (1–1) |