Facilitators and Barriers to Successfully Implementing Study on Integrated District Evidence-to-Action Program to Reduce Under-5 Mortality in 4 Districts, Mozambique
| CFIR Domains | Facilitators | Barriers |
|---|---|---|
| Intervention characteristics | Advantage of core intervention components (audit and feedback meetings, supervision and mentoring, and financial support) compared to routine and similar MCH interventions (relative advantage) | Limited flexibility of intervention design, and decision making about data collection tools and use of intervention small grants (adaptability) |
| Outer setting | Positive pressure district managers and NGO staff exerted over health facility staff (external policy and incentives) | --- |
| Inner setting | Historically established professional networks and communications among NGO and government staff and managers at provincial and subprovincial levels (networks and communication) | |
| Relative priority given to MCH at national and subnational levels of Mozambique’s health system (implementation climate) | Intervention did not adequately address nurse shortages and training needs, health facility infrastructure, and district transportation needs—compatibility (implementation climate) | |
| Access to knowledge and information about the intervention (readiness for implementation) | ||
| Process | Approach to implementing intervention components as originally planned (executing) | --- |
Abbreviations: MCH, maternal and child health; NGO, nongovernmental organization.