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Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium
BACKGROUND: Implementation science has been primarily focused on adoption of evidence-based interventions, and less so on sustainability, creating a gap in the field. The Global Research on Implementation and Translation Science (GRIT) Consortium is funded by the National Heart Lung and Blood Instit...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012828/ https://www.ncbi.nlm.nih.gov/pubmed/36925894 http://dx.doi.org/10.3389/frhs.2022.891522 |
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author | Rakhra, Ashlin Mishra, Shivani Aifah, Angela Colvin, Calvin Gyamfi, Joyce Ogedegbe, Gbenga Iwelunmor, Juliet |
author_facet | Rakhra, Ashlin Mishra, Shivani Aifah, Angela Colvin, Calvin Gyamfi, Joyce Ogedegbe, Gbenga Iwelunmor, Juliet |
author_sort | Rakhra, Ashlin |
collection | PubMed |
description | BACKGROUND: Implementation science has been primarily focused on adoption of evidence-based interventions, and less so on sustainability, creating a gap in the field. The Global Research on Implementation and Translation Science (GRIT) Consortium is funded by the National Heart Lung and Blood Institute (NHBLI) to support the planning, implementation, and sustainability of Late-Stage Phase 4 Translational Research (T4TR) and capacity building for NCD prevention and control in eight low-and middle-income countries (LMICs). This paper highlights perspectives, including barriers, facilitators, opportunities, and motivators for sustaining capacity building and evidence-based hypertension interventions within LMICs. METHODS: Guided by the Capacity, Opportunity, Motivation, Behavior (COM-B) Model, this study surveyed GRIT consortium members on the barriers, facilitators, key motivators, and opportunities for sustaining capacity building and evidence-based hypertension interventions in LMICs. Thematic analysis was used to identify themes and patterns across responses. RESULTS: Twenty-five consortium members across all eight sites and from various research levels responded to the survey. Overarching themes identifying facilitators, key motivators and opportunities for sustainability included: (1) access to structured and continuous training and mentorship; (2) project integration with existing systems (i.e., political systems and health systems); (3) adaption to the local context of studies (i.e., accounting for policies, resources, and utilizing stakeholder engagement); and (4) development of interventions with decision makers and implementers. Barriers to sustainability included local policies and lack of infrastructure, unreliable access to hypertension medications, and lack of sufficient staff, time, and funding. CONCLUSION: Sustainability is an important implementation outcome to address in public health interventions, particularly as it pertains to the success of these initiatives. This study provides perspectives on the sustainability of NCD interventions with a focus on mitigating their NCD burden in LMICs. Addressing multilevel factors that influence the sustainability of capacity building and interventions will have notable implications for other global NCD efforts going forward. Current and future studies, as well as consortium networks, should account for sustainability barriers outlined as it will strengthen program implementation, and long-term outcomes. |
format | Online Article Text |
id | pubmed-10012828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100128282023-03-15 Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium Rakhra, Ashlin Mishra, Shivani Aifah, Angela Colvin, Calvin Gyamfi, Joyce Ogedegbe, Gbenga Iwelunmor, Juliet Front Health Serv Health Services BACKGROUND: Implementation science has been primarily focused on adoption of evidence-based interventions, and less so on sustainability, creating a gap in the field. The Global Research on Implementation and Translation Science (GRIT) Consortium is funded by the National Heart Lung and Blood Institute (NHBLI) to support the planning, implementation, and sustainability of Late-Stage Phase 4 Translational Research (T4TR) and capacity building for NCD prevention and control in eight low-and middle-income countries (LMICs). This paper highlights perspectives, including barriers, facilitators, opportunities, and motivators for sustaining capacity building and evidence-based hypertension interventions within LMICs. METHODS: Guided by the Capacity, Opportunity, Motivation, Behavior (COM-B) Model, this study surveyed GRIT consortium members on the barriers, facilitators, key motivators, and opportunities for sustaining capacity building and evidence-based hypertension interventions in LMICs. Thematic analysis was used to identify themes and patterns across responses. RESULTS: Twenty-five consortium members across all eight sites and from various research levels responded to the survey. Overarching themes identifying facilitators, key motivators and opportunities for sustainability included: (1) access to structured and continuous training and mentorship; (2) project integration with existing systems (i.e., political systems and health systems); (3) adaption to the local context of studies (i.e., accounting for policies, resources, and utilizing stakeholder engagement); and (4) development of interventions with decision makers and implementers. Barriers to sustainability included local policies and lack of infrastructure, unreliable access to hypertension medications, and lack of sufficient staff, time, and funding. CONCLUSION: Sustainability is an important implementation outcome to address in public health interventions, particularly as it pertains to the success of these initiatives. This study provides perspectives on the sustainability of NCD interventions with a focus on mitigating their NCD burden in LMICs. Addressing multilevel factors that influence the sustainability of capacity building and interventions will have notable implications for other global NCD efforts going forward. Current and future studies, as well as consortium networks, should account for sustainability barriers outlined as it will strengthen program implementation, and long-term outcomes. Frontiers Media S.A. 2022-07-22 /pmc/articles/PMC10012828/ /pubmed/36925894 http://dx.doi.org/10.3389/frhs.2022.891522 Text en Copyright © 2022 Rakhra, Mishra, Aifah, Colvin, Gyamfi, Ogedegbe and Iwelunmor. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Health Services Rakhra, Ashlin Mishra, Shivani Aifah, Angela Colvin, Calvin Gyamfi, Joyce Ogedegbe, Gbenga Iwelunmor, Juliet Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium |
title | Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium |
title_full | Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium |
title_fullStr | Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium |
title_full_unstemmed | Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium |
title_short | Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium |
title_sort | sustaining capacity building and evidence-based ncd intervention implementation: perspectives from the grit consortium |
topic | Health Services |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012828/ https://www.ncbi.nlm.nih.gov/pubmed/36925894 http://dx.doi.org/10.3389/frhs.2022.891522 |
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