Skip to main content

Table 3 Implementation outcomes for each of the HSS Programme components

From: 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

  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