Health Research Program
Focus Area: Implementation Research
The Alliance for Health Policy and Systems Research (AHPSR) partnered with the World Health Organization (WHO) Department of Maternal, Newborn, Child and Adolescent Health (MCA) to prepare a supplement to Acta Paediatrica to present results from selected implementation research studies that tested and documented the delivery of proven maternal, newborn and child health (MNCH) interventions in different countries and contexts. This editorial provides background information on how these studies were selected by WHO and an overview of the different studies in the context of the thinking on implementation research at the time they were developed.
Evaluation of a Systems Analysis and Improvement Approach to Optimize PMTCT Using the Consolidated Framework for Implementation Research
Despite large investments to prevent mother-to-child-transmission (PMTCT), pediatric HIV elimination goals are not on track in many countries. The Systems Analysis and Improvement Approach (SAIA) study was a cluster-randomized trial to test whether a package of systems engineering tools could strengthen PMTCT programs. The authors sought to (1) define core and adaptable components of the SAIA intervention, and (2) explain the heterogeneity in SAIA’s success between facilities.
The authors address the challenges of specifying and reporting implementation strategies encountered by researchers who design, conduct, and report research on implementation strategies. They propose guidelines for naming, defining, and operationalizing implementation strategies in terms of seven dimensions: actor, the action, action targets, temporality, dose, implementation outcomes addressed, and theoretical justification.