Providing "a beam of light to see the gaps": determinants of implementation of the Systems Analysis and Improvement Approach applied to the pediatric and adolescent HIV cascade in Kenya.

Kristin Beima-SofieAnjuli Dawn WagnerCaroline SoiWenjia LiuDeanna TollefsonIrene N NjugunaEmily OgutuDouglas GaithoNancy MburuGeoffrey OluochPeter MwauraPeter CherutichLaura OyiengoGrace C John-StewartRuth NduatiKenneth SherrSarah Gimbel

Published in: Implementation science communications (2022)

CQI and flow mapping were core components of SAIA-PEDS, with high acceptability and consistent use, but the PedCAT was too complex. Leadership and hierarchy had a nuanced role in implementation. Future SAIA-PEDS testing should address PedCAT complexity and further explore the modifiability of leadership engagement to maximize implementation.

Keyphrases

primary care
healthcare
quality improvement
antiretroviral therapy
young adults
human immunodeficiency virus
hiv positive
mental health
high resolution
hiv infected
hepatitis c virus
social media
hiv aids
current status
hiv testing
mass spectrometry
south africa
data analysis