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Table 1 Evaluation framework for both the Community/Health facility Strategy

From: An implementation science study to enhance cardiovascular disease prevention in Mukono and Buikwe districts in Uganda: a stepped-wedge design

Primary outcomes - (Reach, Appropriateness, Acceptability, Self-efficacy, Adoption, Cost, Feasibility, Fidelity and Sustainability)
Implementation outcome Description Measurement Time points
Reach Proportion of the health care/community providers/target population approached; Uptake of intervention packages; and proportion of adherent Analysis of routine data generated by CHW, peers & Health facilities and individual/patients quantitative assessments using household/patient questionnaires 0, 6, 12, 18 and 24 months
Appropriateness The extent to which proposed interventions can be delivered at health facilities/community Individual interviews Focus group discussion,
Key informant interviews
0, 6, 12, 18 and 24 months
Organizational Readiness Availability and functionality of infrastructure including personnel, equipment, supplies etc. measured using the Health facility readiness and capacity assessment questionnaire 0, 6, 12, 18 and 24 months
Linkage to healthcare 1. Self-report using h/h questionnaire,
2. Data extraction checklist
12 and 24 months
Referrals for task sharing/shifting Data extraction checklist 12 and 24 months
Acceptability User and provider feedback Focus group discussions guides
Key informants
Formative process ongoing
Individual/Patient satisfaction (Needs) Patient Satisfaction Questionnaire 12 and 24 months
Self-efficacy Personnel beliefs about own competencies to achieve implementation goals Provider questionnaire
Pre/post training assessment tools
12 and 24 months
Adoption Implementation of the project and challenges to implementation (Barriers and opportunities and coping mechanisms). Focus group discussions and individual interviews
Key informant interviews
0, 6, 12, 18 and 24 months (formative process ongoing)
Cost Costs associated with implementing the packages Checklists for cost data (Health facility cost data related to the project
Community program cost data)
12 and 24 months
Feasibility Exposure to and retention of the enhanced interventions e.g. CVD education, counseling etc. Data extraction checklist (Daily activities conducted related to the enhanced interventions e.g. counselling, no. of people profiled, followed up etc.) 12 and 24 months
Fidelity The extent to which providers are delivering packages as per the protocol/guidelines Observer rating forms Formative process ongoing
Sustainability The extent to which the program is being implemented as a standard of practice Key informant interviews with providers. 12 and 24 months
Secondary outcomes – Effectiveness (Change in selected profiles e.g. knowledge, blood pressures (diastolic blood pressure), waist hip ratio/BMI, alcohol history, smoking status, etc.) measured at T 0,6,12,18 and 24 month using surveys.