Barriers and facilitators to implementing evidence-based health innovations in low- and middle-income countries: A systematic literature review |
| |
| Affiliation: | 1. Unit for Health Promotion Research, University of Southern Denmark, Niels Bohrs Vej 9-10, DK-6700, Esbjerg, Denmark;2. Department for Research and Development, University College South Denmark, Lembckesvej 3-7, DK-6100, Haderslev, Denmark;1. Department of Agricultural Education and Communication at the University of Florida, 213 Rolfs Hall, PO Box 110540, 32611, Gainesville, FL, United States;2. University of Florida. 218 Rolfs Hall, PO Box 110540, 32611 Gainesville, FL, United States;3. University of Florida. 3028B McCarty Hall D, University of Florida, Gainesville, FL 32611, United States;4. University of Florida. 113C Bryant Hall, PO Box 112060, Gainesville, FL 32611, United States;1. Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada;2. Department of Geography & Tourism Studies, Brock University, 1812 Sir Isaac Brock Way St. Catharines, Ontario, Canada;1. Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA;2. Texas A&M University, Health Science Center, School of Public Health, MS 1266, College Station, TX 77843-1266, USA;1. School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, K1G 5Z3, Canada;2. Department of Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5, Canada;3. Population Health, Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, K1N 7K4, Canada;4. Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, K1H 8L6, Canada |
| |
| Abstract: | The unsuccessful implementation of health innovations occurs frequently, leading to missed opportunities where improvements could have been made on various aspects of a health system. The purpose of this study is to identify, assess and synthesise the facilitators and barriers to sustainably implementing evidence-based health innovations in a low- and middle-income country (LMIC) context. To identify the LMIC specific facilitators and barriers, a systematic literature review was conducted. 79 studies were analysed, and the implementation barriers and facilitators identified in each study were extracted. The extracted barriers and facilitators were categorised and synthesized into one of seven concepts: context, innovation, relations and networks, institutions, knowledge, actors or resources. There were no substantial variations between the frequency that each concept was identified as a facilitator or barrier to implementation. However, resources, which includes time, human, financial and physical resources, was the most frequently mentioned concept; emphasising the need to focus on the resource situation in LMICs. This study contributes to the growing literature that aims to inform health system planners and evaluators in LMICs on effectively and sustainably implementing evidence-based health innovations. |
| |
| Keywords: | Implementation Barrier Facilitator Evidence-based program Health innovation Low- and middle-income |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
