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Figure 1 | Implementation Science

Figure 1

From: Explaining the effects of a multifaceted intervention to improve inpatient care in rural Kenyan hospitals - interpretation based on retrospective examination of data from participant observation, quantitative and qualitative studies

Figure 1

Over-arching framework indicating how the full intervention package both produced overall effects and variability in effects. The intervention approach included sustained inputs of supervision, feedback, and local facilitation. Where successful, it appeared able to engage hospital management as actors and influence the focus of action (External Support Supervision and Hospital Management tables) and way of acting of managers (Management Behaviours). These behaviours were greatly supported by facilitators acting as change agents (Local Facilitation). Success in organisational or procedural changes (left side of Figure) impacted to generate more positive worker behaviour (right side of Figure) and provided more supportive micro-systems within which care was provided. Correct practice by frontline workers was thus promoted particularly for simple, low-effort tasks recognised as key responsibilities within familiar roles.

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Implementation Science

ISSN: 1748-5908