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Fig. 2 | Implementation Science

Fig. 2

From: Context-acceptability theories: example of family planning interventions in five African countries

Fig. 2

Context-acceptability cascade. Using the example of religious leaders in Kenya: in an initial prevailing context of strong religious beliefs and powerful religious leaders (C1), examination of religious text for alignment with FP (I1) with religious leaders (A1) triggers recognition that FP aligns with religious values (M1), leading to acceptance of FP (O1). The recognition that FP aligns with religious values is a new context (C2) which may itself or with advocacy activities of religious leaders (I2) trigger recognition of alignment of religious text and FP (M1) in men (A2) leading to acceptance of FP (O1). Similarly, the acceptance of FP by religious leaders leads to a new context (C3) with initiation of a similar process as that initiated by (C2). Generally, project/programme conditions represent a number of differing prevailing contexts (Cxn), which in the presence or absence of an intervention/s (Ixn) trigger mechanisms (Mxn) in different actors (Ax) and lead to a number of potential outcomes (Oxn). Using empirical data to elucidate and describe these context-acceptability cascades enables deeper understanding of the fluidity of the interplay between context, interventions, mechanisms, and outcomes

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