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