A Mixed Methods Assessment of the Effect of Organizational Characteristics on Intervention Scale‐Up Success in 42 HIV Testing Clinics in Vietnam.
Rationale: Organizational characteristics, including structures, culture, and climate, are important determinants of intervention scale‐up success. Little is known about which characteristics are most important for HIV intervention scale‐up success in low and middle‐income countries (LMICs), and how...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 31; no. 5; pp. 1 - 15 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2025
|
| 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=187574811&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187574811 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Aug2025 vid: 31 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 187574811 187574811 187574811 10.1111/jep.70243 187574811 ppf: 1 ppct: 14 formats: tig: atl: A Mixed Methods Assessment of the Effect of Organizational Characteristics on Intervention Scale‐Up Success in 42 HIV Testing Clinics in Vietnam. aug: au: Bartels, Sophia M. Dang, Hong Linh T. Chen, Jane S. Nong, Ha T. T. Cao, Van Anh T. Tran, Ha V. Sripaipan, Teerada Powell, Byron J. Barrington, Clare Reyes, Luz M. Giang, Le Minh Phan, Huong T. T. Miller, William C. Go, Vivian F. affil: Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill North Carolina,, USA sug: subj: Implementation Science Organizational Culture AIDS Serodiagnosis HIV Infections Diagnosis Health and Welfare Planning Vietnam Preventive Health Care Program Evaluation Ambulatory Care Facilities Vietnam HIV Infections Prevention and Control Human Funding Source Vietnam Male Female HIV-Positive Persons Health Promotion Persons Who Use Intravenous Drugs Leadership Workload Attitude of Health Personnel Organizational Structure Work Environment Multimethod Studies Questionnaires Interviews Delphi Technique Thematic Analysis Multiple Linear Regression Descriptive Statistics Multivariate Analysis COVID-19 Pandemic Quality of Health Care Male Female ab: Rationale: Organizational characteristics, including structures, culture, and climate, are important determinants of intervention scale‐up success. Little is known about which characteristics are most important for HIV intervention scale‐up success in low and middle‐income countries (LMICs), and how they influence implementation in these contexts. Aims and Objectives: We sought to examine the relationship between organizational characteristics and scale‐up success within an implementation trial testing strategies to scale up Systems Navigation and Psychosocial Counselling (SNaP) for people who inject drugs (PWID) with HIV in Vietnam. Methods: This study was conducted in 42 HIV testing clinics in Vietnam. Informed by the Exploration, Preparation, Implementation, and Sustainment Framework, we assessed the association between five organizational characteristics and SNaP scale‐up success: (1) implementation leadership; (2) staff workload; (3) percent PWID; (4) implementation climate; and (5) organizational readiness. We conducted a mixed methods study including surveys at baseline and endline with clinic staff and PWID participants in all clinics and interviews with clinic staff (n = 48) in six high and six low‐performing clinics. To develop a context‐driven scale‐up success index for our outcome measure, we undertook a modified Delphi process with 14 experts in HIV, PWID, and implementation science. We assessed the relationship between our organizational characteristics and scale‐up success using thematic and multiple linear regression analyses and explored the convergence of results. Results and Conclusion: Greater implementation leadership (ß = 12.20, p = 0.004), high staff workload (ß = 4.71, p = 0.008), and lower implementation climate scores (ß = −6.23, p = 0.046) were significantly associated with scale‐up success. Qualitatively, participants described the importance of implementation leadership, particularly during COVID‐19, and, to a lesser extent, implementation climate and organizational readiness for scale‐up success. Some also described how more time spent on SNaP delivery improved fidelity but exacerbated workload. These findings demonstrate that prioritizing implementation leadership‐focused strategies for the scale‐up of HIV interventions like SNaP could improve implementation outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|