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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.