Table 4 A summary of barriers to sustainability in the selected health center
Behavioral determinants | Barriers to sustainability |
|---|---|
Capability 1. Psychological 2. Physical | • Lack of knowledge about the intervention • No continuous training for the staff about the intervention • Newly transferred to the center without having acquired the skills previously trained by the STARTS-ART implementing team in the new health center • None • Pima cartridges would expire/stock out with no replacements • None • Health care providers attributed their more relaxed approach in the way they carried out their duties to staff transfers from one facility to another • Absence of support supervision which was previously provided by the study team • None |
Opportunity 1. Physical 2. Social | |
Motivation 1. Automatic 2. Reflective |