Table 2 CIFR domains and the emergent themes
CFIR Domain | CFIR construct | Key themes | Barrier/facilitator |
|---|---|---|---|
Characteristics of intervention | Source of intervention Implementation costs | Proven effectiveness of IPT in preventing active TB Adaptability of IPT to patient schedules IPT provided for free of charge Adverse side effects of IPT Indirect costs incurred by patients IPT pills burden | Facilitator Facilitator Facilitator Barrier Barrier Barrier |
Characteristics of individuals | Knowledge and belief about the intervention | Good knowledge and attitude among clinicians and patients Accepting HIV status and having taken IPT before | Facilitator Facilitator |
Process of implementation | Engaging | Collective planning prior to IPT delivery Key stakeholder engagement Collective evaluation of IPT delivery and uptake | Facilitator Facilitator Enabler |
Inner settings | Organizational culture Implementation climate | Communication among staffs participating in IPT delivery Commitment of institutional leadership Shortage of staff and lack of diagnostics facilities | Facilitator Facilitator Barrier |
Outer settings | Cosmopolitanism Sociocultural | Network of health facilities sharing resources HIV related stigma Some Negative cultural and religious values Poverty and weak health systems | Enabler Barrier Barrier Barrier |