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Table 1 Implementation outcomes- RE-AIM dimensions and key questions about postnatal clubs addressed during data collection and analysis

From: Postnatal clubs for integrated postnatal care in Johannesburg, South Africa: a qualitative assessment of implementation

RE-AIM Dimension

Definition

Key questions addressed

Reach

• Is the intervention reaching the target population?

➢ What are the barriers and facilitators to PNC enrolment, and how can they be addressed?

➢ What are the barriers and facilitators to participation for clients?

Effectiveness

• Does the intervention accomplish its goals?

➢ What are health providers’ perceptions on whether PNC is achieving the same patient outcomes and having the same impact as in the original design?

➢ What are the conditions and mechanisms that lead to effectiveness?

Adoption

• To what extent are those targeted to deliver the intervention participating?

➢ What affects health provider participation?

➢ What do health providers like about the intervention?

➢ What barriers and facilitators interacted with the intervention to prevent or encourage adoption? Was there partial or complete adoption? Why did some health providers in these facilities participate and others did not?

Implementation

• To what extent was the intervention consistently implemented

➢ What were the modifications to the intervention and why did they occur?

➢ What were the barriers to implementation?

➢ What are the contextual factors and processes’ underlying barriers to implementation and how do we address them?

Maintenance

• Extent to which the program has been institutionalised

➢ What are the barriers to continuing the program?

  1. Note: Adapted from RE−AIM QuEST mixed methods framework