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Table 8 The six most frequently reported barriers for implementation in ANC, CHC, dental services and open pre-schools

From: Improving child health promotion practices in multiple sectors – outcomes of the Swedish Salut Programme

Most frequently reported barriers Seminar 2 Seminar 4 Change Level
  % (n) % (n) S2-S41  
Antenatal care N 2=27 N=14   
Workload and shortage of time/staff/resources 89 (24) 57 (8) Organisational context
Geographical distance to collaborators 33 (9) 0 Organisational context
Topics and questionnaires experienced as sensitive/intrusive or too extensive 19 (5) 50 (7) Parents/clients
Difficult to start or maintain collaborative relations 26 (7) 29 (4) Social context
Competing goals, demands and work tasks 22 (6) 14 (2) Professionals
Collaborative partners missing 22 (6) 7 (1) Social context
Child health care N=48 N=37   
Workload and shortage of time/staff/resources 92 (44) 89 (33) Organisational context
Competing goals, demands and work tasks 58 (28) 41 (15) Professionals
Collaborative partners missing 15 (7) 46 (17) Social context
Insufficient managerial involvement/support (different levels) 27 (13) 30 (11) Social context
Geographical distance to collaborators 25 (12) 41 (15) Organisational context
Difficult to start or maintain collaborative relations 23 (11) 24 (9) Social context
Dental services N=19 N=16   
Workload and shortage of time/staff/resources 89 (17) 31 (5) Organisational context
Lack of motivation/interest/time/capacity or resources (parents/clients) 53 (10) 25 (4) Parents/clients
Difficult to start or maintain collaborative relations 32 (6) 44 (7) Social context
Competing goals, demands and work tasks 26 (5) 19 (3) Professionals
Lack of or conflicting financial incentives 26 (5) 6 (1) Economic and political context
Insufficient managerial involvement/support (different levels) 16 (3) 25 (4) Social context
Open pre-schools N=15 N=15   
Workload and shortage of time/staff/resources 60 (9) 73 (11) Organisational context
Insufficient work facilities of supplies 53 (8) 7 (1) Organisational context
Difficult to start or maintain collaborative relations 47 (7) 53 (8) Social context
Geographical distance to collaborators 40 (6) 20 (3) Organisational context
Insufficient managerial involvement/support (different levels) 13 (2) 47 (7) Social context
Lack of motivation/interest/time/capacity or resources (parents) 40 (6) 20 (3) Parents/clients
  1. 1 ➚=Increase, ➘=decrease
  2. 2 N=total number of professional in each professional group.
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