Table 3.
Implementation strategies targeting Nutrition Now implementation delivered through Municipality (Organizational level).
Category (55, 56) | Strategy (# denotes ERIC implementation strategy) (57) | The Actor (deliver strategy) |
The Action (specific action, steps or process) |
Action target (affected by strategy) |
Implementation outcome(s) | Temporality and Dose | Justification |
---|---|---|---|---|---|---|---|
Use evaluative and iterative strategies | #4 Assess for readiness and identify barriers and facilitators | Implementation researchers | Meetings with stakeholders in municipality | Stakeholders in municipality | Adoption Appropriateness Feasibility | Pre-implementation from project start until the end of September 2022 | Identify factors that may disrupt implementation, and strengths that can be exploited in the implementation effort |
#56 Purposefully reexamine the implementation | Implementation researchers | Conduct monthly short status meetings with public health coordinator | Public health coordinator | Feasibility | Monthly - during the pre-implementation and implementation process | Anchor implementation strategies, optimize implementation strategies to maximize intervention effectiveness | |
Develop stakeholder interrelationships | #6 Build a coalition | Implementation researchers | Conduct meetings with stakeholders | Stakeholders in municipality | Feasibility Fidelity |
Pre implementation and during implementation | Ensure a good collaborative environment between stakeholders and research team at the municipality level |
#17 Conduct local consensus discussions | Implementation researchers | Conduct Mapping session | Stakeholders in municipality and politicians | Feasibility Sustainability |
Pre-implementation, one time Amounts to 2 hours spent by each stakeholder/politician at municipality level |
Establish a consensus for a need to improvement of early childhood nutrition in the municipality and the need for implementing Nutrition Now | |
#47 Obtain formal commitments | University and municipality leaders | Written formal agreement between municipality and University | Municipality | Feasibility Sustainability |
Pre implementation | Ensure key partners to commit to the signed agreement | |
Engage consumers | #Use mass media | Implementation researchers and stakeholders in municipality | Interviews in Newspapers, municipality website, blogpost | Target population in municipality | Adoption Reach |
Pre implementation (newspaper interviews) and during implementation (website and blogpost) | Contribute to make Nutrition Now known and familiar to the target population |
Change infrastructure | # Mandate change | Stakeholders in municipality | Declaration of priority given to Nutrition Now | MCH and ECEC in municipality | Adoption Fidelity Sustainability |
Pre implementation and implementation - ongoing | Establish a determination to implement Nutrition Now |