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Table 4 Contributors and challenges by level of implementation involvement

From: How service delivery implementation strategies can contribute to attaining universal health coverage: lessons from polio eradication using an implementation science approach

 

% within levels of involvement (95% CI)

Contributors and challenges

Global

National

Subnational

 

(n = 24)

(n = 56)

(n = 767)

Internal contributors (chi-square: 9.22; p:0.162)

 Individual characteristics

16.7 (6.3–37.5)

21.4 (12.5–34.2)

18.3 (15.7–21.2)

 Organizational settings

4.17 (0.6–25.2)

23.2 (13.9–36.1)

17.5 (14.9–20.3)

 Polio program characteristics

33.3 (17.3–54.4)

12.5 (6.0–24.1)

15.7 (13.2–18.4)

 Process of conducting activities

45.8 (27.1–65.8)

42.9 (30.5–56.1)

48.6 (45.1–52.2)

External contributors (chi-square: 5.82; p:0.667)

 Political environment

25 (11.5–46.2)

19.6 (11.2–32.2)

26.8 (23.7–30.0)

 Economic environment

25 (11.5–46.2)

25 (15.3–38.1)

19.3 (16.6–22.3)

 Social environment

41.7(23.7–62.1)

39.3 (27.3–52.7)

42.6 (39.2–46.2)

 Technological environment

8.3 (2.0–28.6)

10.7 (4.9–22.0)

9.3 (7.4–11.6)

Implementation challenges (chi-square: 8.60; p = 0.377)

 Individual challenges

18.2 (6.8–40.3)

13.2 (6.4–25.4)

9.4 (7.5–11.7)

 Organizational challenges

0

7.6 (2.8–18.6)

7.7 (6.0–9.8)

 GPEI-related challenges

0

5.7 (1.8–16.3)

4.4 (3.1–6.1)

 Implementation challenges

9.1(2.2–30.7)

24.5 (14.7–38.0)

22.8 (19.9–26.0)

 External challenges

72.7 (50.5–87.5)

49.1 (35.8–62.4)

55.7 (52.1–59.2)