Enabling determinants | Constraining determinants |
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• The four topic areas are to some extent compatible with CHWs’ experiences of health issues present in their communities. | • Inuuneritta II does not include mental health or resilient citizens as a topic area, it only refers to the National Strategy for Preventing Suicide. |
• The program’s operation-based schedule provided a guideline and attention, and decreased the program’s complexity. | • The program descriptions are not compatible with CHWs needs, who criticise it to be too problem-focused instead of providing hands-on guidance. |
• Action-plans developed by health consultants are again too problem-focused and rarely applied. | |
• The few specific aims in the program decrease its complexity, and in some cases unspecific aims can leave room for reinvention and adaptation to the local context. | • Most of Inuuneritta II’s aims are too broad and ambiguous. |