Your privacy, your choice

We use essential cookies to make sure the site can function. We also use optional cookies for advertising, personalisation of content, usage analysis, and social media.

By accepting optional cookies, you consent to the processing of your personal data - including transfers to third parties. Some third parties are outside of the European Economic Area, with varying standards of data protection.

See our privacy policy for more information on the use of your personal data.

for further information and to change your choices.

Skip to main content

Table 2 Descriptive statistics of implementation strategies

From: Application of the Expert Recommendations for Implementing Change (ERIC) compilation of strategies to health intervention implementation in low- and middle-income countries: a systematic review

 

Overall

N = 548

Planned

n = 282

Delivered

n = 266

Implementation strategies

n (%)

n (%)

n (%)

Not matched to ERIC

153 (27.9)

71 (25.2)

82 (30.8)

Adapt and tailor to context

 Promote adaptability

5 (0.9)

4 (1.4)

1 (0.4)

 Tailor strategies

8 (1.5)

4 (1.4)

4 (1.5)

 Use data experts

2 (0.4)

1 (0.4)

1 (0.4)

 Use data warehousing techniques

2 (0.4)

1 (0.4)

1 (0.4)

Change infrastructure

 Change accreditation or membership requirements

2 (0.4)

1 (0.4)

1 (0.4)

 Change liability laws

0

0

0

 Change physical structure and equipment

9 (1.6)

6 (2.1)

3 (1.1)

 Change record systems

4 (0.7)

3 (1.1)

1 (0.4)

 Change service sites

5 (0.9)

4 (1.4)

1 (0.4)

 Create or change credentialing/licensure standards

1 (0.2)

1 (0.4)

0 (0.0)

 Mandate change

3 (0.5)

2 (0.7)

1 (0.4)

 Start a dissemination organization

0

0

0

Develop stakeholder interrelationships

 Build a coalition

12 (2.2)

5 (1.8)

7 (2.6)

 Capture and share local knowledge

7 (1.3)

5 (1.8)

2 (0.8)

 Conduct local consensus discussions

9 (1.6)

3 (1.1)

6 (2.3)

 Develop academic partnerships

6 (1.1)

2 (0.7)

4 (1.5)

 Develop an implementation glossary

1 (0.2)

1 (0.4)

0 (0.0)

 Identify and prepare champions

11 (2.0)

8 (2.8)

3 (1.1)

 Identify early adopters

1 (0.2)

1 (0.4)

0 (0.0)

 Inform local opinion leaders

5 (0.9)

4 (1.4)

1 (0.4)

 Involve executive boards

6 (1.1)

3 (1.1)

3 (1.1)

 Model and simulate change

3 (0.5)

2 (0.7)

1 (0.4)

 Obtain formal commitments

6 (1.1)

3 (1.1)

3 (1.1)

 Organize clinician implementation team meetings

10 (1.8)

6 (2.1)

4 (1.5)

 Promote network weaving

3 (0.5)

0 (0.0)

3 (1.1)

 Recruit, designate, and train for leadership

5 (0.9)

4 (1.4)

1 (0.4)

 Use advisory boards and workgroups

9 (1.6)

5 (1.8)

4 (1.5)

 Use an implementation advisor

2 (0.4)

0 (0.0)

2 (0.8)

 Visit other sites

0

0

0

Engage consumers

 Increase demand

3 (0.5)

2 (0.7)

1 (0.4)

 Intervene with patients/consumers to enhance uptake and adherence

6 (1.1)

6 (2.1)

0 (0.0)

 Involve patients/consumers and family members

3 (0.5)

1 (0.4)

2 (0.8)

 Prepare patients/consumers to be active participants

0

0

0

 Use mass media

3 (0.5)

1 (0.4)

2 (0.8)

Provide interactive assistance

 Centralize technical assistance

4 (0.7)

2 (0.7)

2 (0.8)

 Facilitation

5 (0.9)

2 (0.7)

3 (1.1)

 Provide clinical supervision

4 (0.7)

4 (1.4)

0 (0.0)

 Provide local technical assistance

6 (1.1)

2 (0.7)

4 (1.5)

Support clinicians

 Create new clinical teams

1 (0.2)

1 (0.4)

0 (0.0)

 Develop resource-sharing agreements

1 (0.2)

1 (0.4)

0 (0.0)

 Facilitate relay of clinical data to providers

5 (0.9)

3 (1.1)

2 (0.8)

 Remind clinicians

4 (0.7)

3 (1.1)

1 (0.4)

 Revise professional roles

11 (2.0)

9 (3.2)

2 (0.8)

Train and educate stakeholders

 Conduct educational meetings

16 (2.9)

7 (2.5)

9 (3.4)

 Conduct educational outreach visits

4 (0.7)

1 (0.4)

3 (1.1)

 Conduct ongoing training

8 (1.5)

5 (1.8)

3 (1.1)

 Create a learning collaborative

9 (1.6)

5 (1.8)

4 (1.5)

 Develop educational materials

10 (1.8)

3 (1.1)

7 (2.6)

 Distribute educational materials

5 (0.9)

2 (0.7)

3 (1.1)

 Make training dynamic

6 (1.1)

4 (1.4)

2 (0.8)

 Provide ongoing consultation

8 (1.5)

4 (1.4)

4 (1.5)

 Shadow other experts

2 (0.4)

1 (0.4)

1 (0.4)

 Use train-the-trainer strategies

3 (0.5)

3 (1.1)

0 (0.0)

 Work with educational institutions

1 (0.2)

1 (0.4)

0 (0.0)

Use evaluative and iterative strategies

 Assess for readiness; identify barriers and facilitators

13 (2.4)

5 (1.8)

8 (3.0)

 Audit and provide feedback

15 (2.7)

6 (2.1)

9 (3.4)

 Conduct cyclical small tests of change

8 (1.5)

6 (2.1)

2 (0.8)

 Conduct local needs assessment

11 (2.0)

7 (2.5)

4 (1.5)

 Develop a formal implementation blueprint

11 (2.0)

8 (2.8)

3 (1.1)

 Develop and implement tools for quality monitoring

4 (0.7)

3 (1.1)

1 (0.4)

 Develop and organize quality monitoring systems

8 (1.5)

6 (2.1)

2 (0.8)

 Obtain and use patient/consumer and family feedback

4 (0.7)

3 (1.1)

1 (0.4)

 Purposely reexamine the implementation

5 (0.9)

3 (1.1)

2 (0.8)

 Stage implementation scale-up

3 (0.5)

2 (0.7)

1 (0.4)

Utilize financial strategies

 Access new funding

3 (0.5)

3 (1.1)

0 (0.0)

 Alter incentive/allowance structures

2 (0.9)

1 (0.7)

1 (1.2)

 Alter patient/consumer fees

0

0

0

 Develop disincentives

0

0

0

 Fund and contract for the clinical innovation

1 (0.2)

0 (0.0)

1 (0.4)

 Make billing easier

0

0

0

 Place innovation on fee-for-service lists/formularies

1 (0.2)

1 (0.4)

0 (0.0)

 Use capitated payments

0

0

0

 Use other payment schemes

0

0

0