Human papillomavirus vaccine delivery in Mozambique: identification of implementation performance drivers using the Consolidated Framework for Implementation Research (CFIR)

Table 2 Mozambique HPV vaccine demonstration project CFIR construct valence rating

Evaluated Constructs		Valence
Evaluated Constructs	Distinguishing	High	Intermediate	Low
Innovation characteristics
Adaptability	Strongly	+ 2	− 2	− 2
Complexity	Strongly	− 1	− 2	− 2
Design quality and packaging	Not	+ 2	+ 2	+ 2
Outer setting
Patient needs and resources	Strongly	+ 2	− 2	− 2
Inner setting
Structural characteristics	Strongly	+ 2	− 2	− 2
Networks and communications	Weakly	− 1	− 2	− 2
Culture	Not	+ 2	+ 2	+ 2
Relative priority	Not	+ 2	+ 2	+ 2
Org. incentives and rewards	Strongly	0	− 2	− 2
Learning climate	Strongly	+ 2	0	0
Available resources	Strongly	0	− 2	− 2
Access to knowledge and info	Strongly	+ 2	− 1	− 1
Process
Planning	Not	− 1	− 2	− 2
Opinion leaders	Strongly	+ 2	− 2	− 2
Champions	Not	+ 2	+ 1	+ 1
Key stakeholders	Strongly	+ 2	0	0
Innovation participants	Strongly	+ 2	0	− 2
Executing	Neutral	0	0	0
Reflecting and evaluating	Not	+ 2	+ 2	+ 2

ISSN: 1748-5908