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 Number of included papers reporting on barriers to and/or facilitators of program sustainabilitya, organised according to the Integrated Sustainability Framework [12]

From: Built to last? Barriers and facilitators of healthcare program sustainability: a systematic integrative review

Outer setting (n = 46)

Inner setting (n = 99)

Intervention characteristics (n = 72)

Processes (n = 99)

Implementer and population characteristics (n = 44)

Funding environment (n = 26)

Leadership/support (n = 61)

Fit with population and context (n = 37)

Training/support/supervision (n = 54)

Implementer attitudes (n = 23)

Leadership (n = 16)

Staffing/turnover (n = 50)

Adaptability (n = 29)

Communication (n = 40)

Implementation skills/expertise (n = 21)

Socio-political context (n = 14)

Climate/culture (n = 42)

Benefits/need (n = 26)

Program evaluation/data (n = 40)

Provider/implementer characteristics (n = 18)

Values, priorities, needs (n = 11)

Funding/resources (n = 37)

Burden/complexity (n = 19)

Partnership/engagement (n = 35)

Implementer motivation (n = 12)

Policy and legislation (n = 11)

Champion (n = 31)

Cost (n = 12)

Adaptation (n = 24)

Population characteristics (n = 8)

Community ownership (n = 9)

Capacity (n = 30)

Trialability (n = 3)

Team/board functioning (n = 23)

 
 

Structural characteristics (n = 19)

 

Planning (n = 21)

 
 

Policies (alignment) (n = 13)

 

Capacity building (n = 21)

 
   

Technical assistance (n = 12)

 
   

Fidelity (n = 8)

 
  1. aDetails of individual studies categorised by ISF category and all factors under each category are provided in Table S4