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Table 2 Number of included papers reporting on barriers to and/or facilitators of program sustainabilitya, organised according to the Integrated Sustainability Framework [12]

From: Built to last? Barriers and facilitators of healthcare program sustainability: a systematic integrative review

Outer setting (n = 46)

Inner setting (n = 99)

Intervention characteristics (n = 72)

Processes (n = 99)

Implementer and population characteristics (n = 44)

Funding environment (n = 26)

Leadership/support (n = 61)

Fit with population and context (n = 37)

Training/support/supervision (n = 54)

Implementer attitudes (n = 23)

Leadership (n = 16)

Staffing/turnover (n = 50)

Adaptability (n = 29)

Communication (n = 40)

Implementation skills/expertise (n = 21)

Socio-political context (n = 14)

Climate/culture (n = 42)

Benefits/need (n = 26)

Program evaluation/data (n = 40)

Provider/implementer characteristics (n = 18)

Values, priorities, needs (n = 11)

Funding/resources (n = 37)

Burden/complexity (n = 19)

Partnership/engagement (n = 35)

Implementer motivation (n = 12)

Policy and legislation (n = 11)

Champion (n = 31)

Cost (n = 12)

Adaptation (n = 24)

Population characteristics (n = 8)

Community ownership (n = 9)

Capacity (n = 30)

Trialability (n = 3)

Team/board functioning (n = 23)

 
 

Structural characteristics (n = 19)

 

Planning (n = 21)

 
 

Policies (alignment) (n = 13)

 

Capacity building (n = 21)

 
   

Technical assistance (n = 12)

 
   

Fidelity (n = 8)

 
  1. aDetails of individual studies categorised by ISF category and all factors under each category are provided in Table S4