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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.