Effective strategies for scaling up evidence-based practices in primary care: a systematic review

Ben Charif, Ali; Zomahoun, Hervé Tchala Vignon; LeBlanc, Annie; Langlois, Léa; Wolfenden, Luke; Yoong, Sze Lin; Williams, Christopher M.; Lépine, Roxanne; Légaré, France

doi:10.1186/s13012-017-0672-y

Implementation Science

Table 2 Reported coverage measures (n = 14)

From: Effective strategies for scaling up evidence-based practices in primary care: a systematic review

Reference in chronological order	Numerator (n)				Denominator (d)				Coverage (n/d) (%)				Timeframe of the scaling-up process	Reported successful coverage			Reported impact on main health outcomes			Used framework	Used framework
Reference in chronological order	Regions	Sites	Providers	Patients	Regions	Sites	Providers	Patients	Regions	Sites	Providers	Patients	Months	+	–	Unclear	+	–	Unclear	Name	No
Frieden et al. [51]								10,000,000				74	30	⊠			⊠^g				⊠
Price et al. [52]						30							6			⊠	⊠^g				⊠
Mutevedzi et al. [53]				5719		16							48	⊠				⊠^g			⊠
Renju et al. [54]			429		4	177							39	⊠			⊠^g				⊠
Curry et al. [55]						30				^e			18	⊠			⊠				⊠
Goetz et al. [56]						15^c							12	⊠			⊠^g				⊠
Li et al. [57]			157			63	323				49		22	⊠			⊠			RE-AIM
Miyano et al. [58]						8							≤ 36	⊠			⊠^g				⊠
Comfort et al. [59]						49^d		400,335^d					≤ 72	⊠			⊠				⊠
Legesse et al. [60]		13,500		^a	4			70,000,000					31	⊠					⊠		⊠
Solberg et al. [61]				2348		75							63		⊠			⊠^g			⊠
Sim et al. [62]	74	956			77	1004			96	95			57	⊠^g			⊠				⊠
Munos et al. [63]					9							^f	35		⊠			⊠^g			⊠
Singh et al. [64]				^b		744							43			⊠	⊠^g				⊠

RE-AIM Reach, Effectiveness, Adoption, Implementation, and Maintenance
^aAuthors reported that the EBP reached an estimated 10,230,450 under-5s
^bAuthors provided coverage information for some indicators (d = 744 sites): early antenatal care (n = 11,671 patients), skilled delivery (n = 9573 patients), and underweight in infants (n = 7685 patients)
^cSum of seven and eight facilities of two arms of this trial
^dSum of 13 rural health centers (covering 160,000 persons), 19 primary health centers and 17 rural health centers (covering 240,335 persons)
^eAuthors provided information on achieved coverage for some indicators (d = 30 sites): access to water (from 27 to 100%), access to electricity (from 73 to 97%), and health center staffing (from 75 to 90%)
^fAuthors provided information on program targets, baseline, and achieved levels of mortality and coverage: under-five mortality rate (target, 82.5 deaths per 1000; baseline, 110 deaths per 1000; achieved, 103 deaths per 1000), ≥ 4 antenatal care visits (targeted, 80%; baseline, 45%; achieved, 44%), intermittent preventive treatment of malaria in pregnancy (targeted, 70%; baseline, 44%; achieved, 39%), skilled birth attendance (targeted, 60%; baseline, 80%; achieved, 73%), cesarian section (targeted, 2%; baseline, 3%; achieved, 2%), early initiation of breast-feeding (targeted, 40%; baseline, 25%; achieved, 26%), postpartum vitamin A (targeted, 60%; baseline, 50%; achieved, 57%), artemisinin combination therapy for fever (targeted, 70%; baseline, 27%; achieved, 23%), antibiotics for pneumonia (targeted, 60%; baseline, 30%; achieved, 16%), oral rehydration therapy + continued feeding (targeted, 60%; baseline, 65%; achieved, 64%), insecticide-treated bednets (targeted, 70%; baseline, 51%; achieved, 92%), exclusive breast-feeding (targeted, 20%; baseline, 35%; achieved, 42%), vitamin A supplementation (targeted, 90%; baseline, 89%; achieved, 93%)
^gQuantitatively reported successful coverage or impact of scaling-up strategy
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ISSN: 1748-5908

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