Appraising and addressing design and implementation failure in global health: A pragmatic framework.
There have been recent concerns about the failure of several global health interventions. Interventions are considered to have failed when they are unable to achieve the intended results. Failure may be linked to how the intervention was designed (design failure) or how it was implemented (implement...
| Publicado en: | Global Public Health Vol. 16; no. 7; pp. 1122 - 1131 |
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| Autores principales: | , , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150797715&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150797715 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17441692 15UG jtl: Global Public Health issn: 17441692 maglogo: N pubinfo: dt: Jul2021 vid: 16 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 150797715 145581411 150797715 150797715 10.1080/17441692.2020.1814379 150797715 ppf: 1122 ppct: 9 formats: tig: atl: Appraising and addressing design and implementation failure in global health: A pragmatic framework. aug: au: Eboreime, Ejemai Amaize Olawepo, John Olajide Banke-Thomas, Aduragbemi Abejirinde, Ibukun-Oluwa Omolade Abimbola, Seye affil: Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada sug: subj: World Health Program Implementation Implementation Science Conceptual Framework Quality Improvement Program Development Policy Making Models, Theoretical Health Policy Insurance, Health Primary Health Care Health Care Reform ab: There have been recent concerns about the failure of several global health interventions. Interventions are considered to have failed when they are unable to achieve the intended results. Failure may be linked to how the intervention was designed (design failure) or how it was implemented (implementation failure). Recently, substantial efforts have been employed to improve the outcomes of health interventions. These efforts have led to the development of several theories, models, and frameworks in implementation science to improve the quality of implementation, bridging the divide between evidence and practice. But significant gaps still exist. Whereas much work has been done to develop frameworks and approaches to improve implementation fidelity, not as much effort has been done to guide the adherence of interventions to program theory during the design of the programs. Further, there have been concerns about the applicability of these frameworks in the real-world. This article uses examples to illustrate these gaps and further proposes a pragmatic framework to address identified gaps, thus aiding evidence-informed program design and implementation. The proposed Theory-Design-Implementation (TyDI) framework will support policymakers, program planners and implementers to address potential design and implementation failure, thus improving the fidelity of interventions. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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