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Table 3 Barriers and facilitators to implementing a multimodal intervention to increase HIV testing grouped by the PARiHS framework

From: The role of evidence and context for implementing a multimodal intervention to increase HIV testing

 

Evidence weak

Evidence strong

Context strong

Little HIV in this populationa

HIV testing is critical a

Population is elderly and monogamousa

Professionalism of providers—believe that HIV testing is doing the right thing a

Testing is a low prioritya

Strong clinical champion b

Strong clinical championb

External environment of HIV testing in the community b

Lots of current testingb

Organizational support for doing testing b

Organizational support for doing testingb

CR viewed as facilitative and not burdensome b

CR viewed as facilitative and not burdensomeb

Context weak

Little HIV in this populationa

Agree HIV testing is importanta

Population is elderly and monogamousa

Evidence considered good for testinga

Testing is a low prioritya

Difficult to talk about HIV/sex in this regionb

Difficult to talk about HIV/sex in this regionb

Insufficient staff to do testingb

Insufficient staff to do testingb

CR overloadb

CR overloadb

Poor organizational structureb

Poor organizational structureb

No clinical championb

No clinical championb

  1. aIndicates elements of evidence; bindicates elements of context. Sites that have strong evidence and strong context (in italics) have the best chance to implement testing.