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Table 3 Facilitators of successful implementation of SAIA-SCALE, across two intervention waves in Mozambique, 2018–2020

From: Assessing drivers of implementing “Scaling-up the Systems Analysis and Improvement Approach” for Prevention of Mother-to-Child HIV Transmission in Mozambique (SAIA-SCALE) over implementation waves

Facilitators in both implementation waves (2018–2019 and 2019–2020)

 Inner setting domain

  Compatibility (subconstruct of implementation climate)

SAIA compatibility with organizational structures, processes, and priorities of national health service at district and facility levels

Facilitators in the second implementation wave (2019–2020)

 Intervention characteristics domain

  Relative advantage construct

Relative advantage to MCH and PMTCT cascade at the health facility

 Outer setting domain

  External policy and incentives construct

Support and pressure that provincial managers exerted over district and facility managers and personnel

 Inner setting domain

  Relative priority (subconstruct of Implementation climate)

Relative priority of intervention at district and facility levels, supported by PMTCT being a national priority in Mozambique

  Leadership engagement (subconstruct of readiness for implementation)

District managers’ active involvement in intervention activities: health facility supervision, technical support, and solving logistical issues

 Implementation process domain

  Executing construct

Implementation of intervention as originally planned, with high-quality methods and committed personnel