Table 5

Evidence concerning enablers and barriers

Evidence forEvidence againstMixed evidenceOverall
Community contextQualitativeQuantitativeQualitativeQuantitativeQualitativeQuantitativeconfidence
Barrier: pre-existing poverty30 43 50 55 83None69None58Low
Enabler: supportive institutional-political context37 61NoneNoneNoneNoneNoneMedium
Enabler: pre-existing social cohesion50 83NoneNoneNoneNoneNoneMedium
Enabler: supportive pre-existing health beliefs, attitudes and norms50 53 54 58 59 685348 72NoneNoneNoneLow
Barrier: pre-existing power hierarchies in the community50 54 69 83NoneNoneNoneNoneNoneMedium
Barrier: pre-existing power hierarchies within households43 50 58 6962NoneNoneNoneNoneMedium
Intervention context
Intervention design and management
Enabler: staff management42 49 58 83NoneNoneNoneNoneNoneMedium
Enabler: incentives for participation37 43 58 5981 86NoneNoneNoneNoneMedium
Enabler: management of community relations50 52 87NoneNoneNoneNoneNoneMedium
Intervention implementation
Enabler: respect for local people, knowledge and practices37 49 50NoneNoneNoneNoneNoneMedium
Enabler: relevant education tools42 48 50 69 71NoneNoneNoneNoneNoneMedium
Enabler: inclusion of less powerful subpopulations6969NoneNoneNoneNoneMedium