Haribondhu Sarma1,2, Catherine D'Este1,3, Tahmeed Ahmed2, Thomas J Bossert4, Cathy Banwell1. 1. Research School of Population Health, Colleague of Health and Medicine, The Australian National University, Canberra, ACT2601, Australia. 2. Nutrition and Clinical Services Division, icddr,b, Dhaka1212, Bangladesh. 3. School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW2308, Australia. 4. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Abstract
OBJECTIVE: The aim of this paper is to identify and develop a comprehensive conceptual framework using implementation science that can be applied to assess a nutrition intervention in a real-world setting. DESIGN: We conducted a narrative review using electronic databases and a manual search to identify implementation science frameworks, models and theories published in peer-reviewed journals. We performed a qualitative thematic analysis of these publications to generate a framework that could be applied to nutrition implementation science. RESULTS: Based on this review, we developed a comprehensive framework which we have conceptualised as an implementation science process that describes the transition from the use of scientific evidence through to scaling-up with the aim of making an intervention sustainable. The framework consisted of three domains: Domain i - efficacy to effectiveness trials, Domain ii - scaling-up and Domain iii - sustainability. These three domains encompass five components: identifying an 'effective' intervention; scaling-up and implementation fidelity; course corrections during implementation; promoting sustainability of interventions and consideration of a comprehensive methodological paradigm to identify 'effective' interventions and to assess the process and outcome indicators of implementation. The framework was successfully applied to a nutrition implementation program in Bangladesh. CONCLUSIONS: Our conceptual framework built from an implantation science perspective offers a comprehensive approach supported by a foundational and holistic understanding of its key components. This framework provides guidance for implementation researchers, policy-makers and programme managers to identify and review an effective intervention, to scale it up and to sustain it over time.
OBJECTIVE: The aim of this paper is to identify and develop a comprehensive conceptual framework using implementation science that can be applied to assess a nutrition intervention in a real-world setting. DESIGN: We conducted a narrative review using electronic databases and a manual search to identify implementation science frameworks, models and theories published in peer-reviewed journals. We performed a qualitative thematic analysis of these publications to generate a framework that could be applied to nutrition implementation science. RESULTS: Based on this review, we developed a comprehensive framework which we have conceptualised as an implementation science process that describes the transition from the use of scientific evidence through to scaling-up with the aim of making an intervention sustainable. The framework consisted of three domains: Domain i - efficacy to effectiveness trials, Domain ii - scaling-up and Domain iii - sustainability. These three domains encompass five components: identifying an 'effective' intervention; scaling-up and implementation fidelity; course corrections during implementation; promoting sustainability of interventions and consideration of a comprehensive methodological paradigm to identify 'effective' interventions and to assess the process and outcome indicators of implementation. The framework was successfully applied to a nutrition implementation program in Bangladesh. CONCLUSIONS: Our conceptual framework built from an implantation science perspective offers a comprehensive approach supported by a foundational and holistic understanding of its key components. This framework provides guidance for implementation researchers, policy-makers and programme managers to identify and review an effective intervention, to scale it up and to sustain it over time.
Authors: Anne Galaurchi; Samuel T Chatio; Paula Beeri; Abraham R Oduro; Winfred Ofosu; Mark Hanson; Marie-Louise Newell; Shane A Norris; Kate A Ward; Engelbert A Nonterah; Regien Biesma Journal: Int J Environ Res Public Health Date: 2021-05-17 Impact factor: 3.390
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