Implementing validating environmental health monitoring system Sweden webcam chat room

There were no tools available for the systematic mapping of aspects of organizational context influencing the implementation of EBPs in low- and middle-income countries (LMICs).Thus, this project aimed to develop and psychometrically validate a tool for this purpose.The objective of the Context Assessment for Community Health (COACH) project was to develop and psychometrically validate a tool for LMICs to assess aspects of context influencing the implementation of evidence-based practices (EBP) [30] that could be used to achieve better insights into the process of implementing EBPs.The name of the tool was chosen to reflect the focus of the project in terms of understanding how health systems context relates to the provision of care to community members.The three available tools were developed for, and validated in, high-income settings [17–19, 25, 26].

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The six phases of development resulted in a good fit between the theoretical dimensions of the COACH tool and its psychometric properties.

The importance of understanding context prior to and during the evaluation of the implementation of EBPs has led to the development of three quantitative tools aimed at assessing healthcare context, all of which have been developed based on the PARIHS framework [17–19].

Out of the three tools, the Alberta Context Tool (ACT) is the one that has been most widely used and has been subjected to the most rigorous evaluation of validity and reliability [13, 20–24].

However, there were additional aspects of context of relevance in LMICs specifically Resources, Community engagement, Commitment to work and Informal payment.

Use of the COACH tool will allow for systematic description of the local healthcare context prior implementing healthcare interventions to allow for tailoring implementation strategies or as part of the evaluation of implementing healthcare interventions and thus allow for deeper insights into the process of implementing EBPs in LMICs.

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