Table 3.

CFIR Constructs and their Related Barriers or Motivators for the Engagement of Private Hospitals in TB Care

CFIR Domain	CFIR construct	Barrier or motivator	Explanation for motivators and barriers
Intervention Characteristics	Relative advantage	Motivator	Private hospitals were perceived to have a relative advantage of providing high-quality healthcare services and for enabling privacy and confidentiality for patients
	Cost	Barrier	Healthcare providers perceived high costs in terms of payment for care by patients. In addition, they also noted that TB care is an indirect income generating service which makes it unattractive to venture in since most private hospitals are for-profit
Outer setting	Patients’ needs and resources	Motivator	Private hospitals are nearer to patients thus saving them from costs involved in traveling to public health centers that are far
	External policy and incentives	Barrier	Lack of drugs, registers, and diagnostic tools and lack of accreditation from the Ugandan Ministry of Health hinder the engagement
Inner setting	Structure characteristics	Barrier	Limited space for keeping TB patients
	Networks and communications	Barrier	Lack of proper follow-up mechanism for the referred patients
Characteristics of individuals	Knowledge and beliefs about the intervention	Barrier	Lack of training and qualified human resources to manage TB disease and delayed seeking of health care by the patients
The process of implementation	Engaging	Motivator	Formalization of partnerships between private hospitals and the government