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Table 3 Definition of equity-focused implementation outcomes

From: Conceptual framework of equity-focused implementation research for health programs (EquIR)

Implementation outcomes Equity-focused Definition
Acceptability The perception among the key players in implementation: health professionals, stakeholders, patients, community, disadvantaged population and others.
Adoption The intention, utilization or action to try to employ the sensitive equity recommendation in the new program or intervention.
Appropriateness The relevance or perceived fit, or usefulness or practicability of the program or intervention in the disadvantaged population.
Feasibility The extent to which the program or intervention allows to reduce the barriers, and can be carried out in any setting, especially among disadvantaged populations.
Fidelity The adherence of disadvantaged population to the equity-focused implementation program or intervention.
Implementation
cost
Total cost of the program implementation in disadvantaged and non-disadvantaged populations, and the final adjusted cost-effectiveness economic evaluation.
Coverage The degree of reach, access, service spread or effective coverage (combining coverage and fidelity) on the disadvantaged population eligible to benefit from the program or the intervention.
Sustainability The maintenance, continuation or durability of the program or intervention implemented through short, medium and long-term strategies, including disadvantaged populations.
  1. Source: Authors, adapted from Peters DH, Adam T, Alonge O, Agyepong IA, Tran N. Implementation research: what it is and how to do it. BMJ. 2013;347:f6753 [14]