Sustainability of a gender-focused HIV and alcohol risk-reduction intervention in usual care settings in South Africa
A mixed methods analysis
Bibliographic Data
Intervention sustainability is a critical yet understudied aspect of implementation science research. To address this gap, we examined the sustainability of the Women’s Health CoOp (WHC), a gender-focused, evidence-based, HIV and alcohol risk-reduction intervention, after an implementation trial. We used a mixed methods design consisting of questionnaires (n = 12), 3 focus groups (n = 11), and a semistructured interview conducted with interventionists implementing the WHC in clinics and substance use treatment programs in Cape Town, South Africa. Five out of 8 facilities implemented the WHC beyond the 6-month implementation period, and 4 were still implementing the WHC as of October 2019. Sustainability ranged from approximately 8 months to more than 3 years. At the most recent assessment, interventionists delivered the intervention to 0–20 participants in the past month. Qualitative findings indicate that long-term sustainability would require support from upper management, staff dedicated to the WHC, and booster trainings. The WHC was sustained postimplementation. Integrating the program into usual care would be feasible; however, human resources, financial, and institutional support would be needed for sustainability. To move implementation science forward, it is essential to determine sustainability beyond the presence and involvement of researchers
Business · Environmental health · Family medicine · Focus group · Political science · Program evaluation · Qualitative research · Sociology · Sustainability · Community Health and Development · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Nursing · Marketing
Applied Thematic Analysis
The sustainability of new programs and innovations
The Impact of Alcohol Use and Related Disorders on the HIV Continuum of Care: a Systematic Review
Developing a comprehensive definition of sustainability
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A refined compilation of implementation strategies
Consolidated criteria for reporting qualitative research (Coreq)
A conceptual framework for training of trainers (ToT) interventions in global health
Outcomes of Implementing in the Real World the Women's Health CoOp Intervention in Cape Town, South Africa
Not on the agenda”
Service providers’ perceptions of barriers to the implementation of trauma-focused substance use services for women in Cape Town, South Africa
Doing more with less’
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