Table 1 Analytic framework: contextual barriers and enablers to scale-up
CONTEXTUAL BARRIERS AND ENABLERS | |
|---|---|
Contextual factors influencing government decisions to accept, adopt and finance innovations at scale | How health policies are made • Government willingness to collaborate with development partners and implementers • Government responsiveness to civil society • Evidence-based decision making • Turnaround of government officials • Bureaucratic government institutions Prioritising and funding maternal and newborn health • National policy frameworks • Economic resources and global and development partners’ influence • Influence of powerful country actors Development partner harmonisation • Information sharing and coordinated communication with government • Embracing donor coordination mechanisms |
Contextual factors influencing the implementation of innovations at scale | Health systems capacity • Health infrastructure • Human resources • Logistics and commodity supply • Health systems governance and health information systems • Financing Security context |
Contextual factors influencing community willingness and ability to accept and take up innovations at scale | Sociocultural contexts and demand for healthcare • Education and awareness of health issues • ‘Traditional’ health-related beliefs and practices • Hegemonic gender relations • Heterogeneity Access to healthcare • Geographical distances • Poverty |