The problem | “The characteristics of the problem will influence the rate at which an intervention designed to address it is integrated into the general health system.” |
The broad context | The broad context is “the interplay of the demographic, economic, political, legal, ecological, socio-cultural (including historical legacies), and technological factors in the environment” within which the integration occurs. |
The intervention | “Less complex interventions more readily lend themselves to standardization and replication” than complex interventions that “require greater customization to meet the needs of the specific client groups in different contexts”. |
Health system characteristics | “Integration can occur at different levels of the health system—local, district, regional or national depending on the prevailing governance arrangements—in relation to critical health system functions”, involving an alignment with the existing system. |
The adoption system | The adoption system, within which the intervention is internalised, comprises key actors and institutions “with varied interests, values and power distribution” in the health system and the broad context. |