Figure 2
From: Implementing new health interventions in developing countries: why do we lose a decade or more?
Frost and Reich’s (2008) access framework. The figure presents access as depending on a coordinating architecture that ensures that availability, affordability and adoption considerations are addressed for an intervention. Architecture: Organizational structures and relationship established with the purpose of coordinating and steering the availability, affordability, and adoption activities. Availability: Logistics of making, ordering, shipping, storing, distributing, and delivering a new health technology to ensure it reaches the hands (or mouths) of the end-user. Affordability: Ensuring that health technologies and related services are not too costly for the people who need them. Adoption: Gaining acceptance and creating demand for a new health technology from global organizations, government actors, providers and dispensers, and individual patients. The concept of “acceptability” is inherent in “End-User Adoption and Appropriate Use” but was made explicit in the graphic above to illustrate this framework’s consistency with the work of other authors. Reproduced under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 License [8]