Implementation outcomes of a health systems strengthening intervention for perinatal women with common mental disorders and experiences of domestic violence in South Africa: Pilot feasibility and acceptability study

Table 3 Implementation outcomes for each of the HSS Programme components

	Health promotion and awareness raising	Detection	Referral	Treatment
Acceptability – satisfaction with the content and delivery of component	Acceptable to healthcare workers	Acceptable to some, but not all pregnant women	Acceptable to be linked to care, but not to be visited at their homes	Acceptable to pregnant women, but not to all CHWs
Appropriateness – usefulness, relevance, suitability of component	Appropriate to healthcare workers	Appropriate to healthcare workers and pregnant women	Appropriate to healthcare workers	Appropriate to healthcare workers and pregnant women
Feasibility – suitability of component for routine implementation	Feasible to some extent	Not feasible using ANC nurses	Not feasible to be contacted at home	Not feasible to be counselled by CHWs
Adoption – uptake, utilization and initial implementation of the component	Poor adoption	Poor adoption	Poor adoption	Poor adoption
Fidelity of delivery – delivery of the component as intended	Poor fidelity	Poor fidelity	Poor fidelity	Poor fidelity
Fidelity of receipt – user understanding and performance resulting from receipt of the component	Improved intended health seeking behaviour	Improved detection rates	Improved referral rates	Decreased levels of distress

ISSN: 1472-6963