@inproceedings{fdi:010095775,
  title = {{E}valuation of the implementation fidelity of a project introducing a health innovation in {W}est {A}frica [r{\'e}sum{\'e}]},
  author = {{L}ouart, {S}. and {B}alde, {H}. and {C}oulibaly, {A}. and {D}agobi, {E}. and {K}adio, {K}. and {H}edible, {G}. and {L}eroy, {V}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground and objective: {T}he {AIRE} project aims to improve the detection of respiratory distress in children under five years of age by introducing the routine use of pulse oximeters ({PO}s) during consultations in primary health centers ({PHC}s) in four countries ({B}urkina {F}aso, {G}uinea, {M}ali, {N}iger). {A} wide range of activities (training of health workers, distribution of essential drugs, supervision visits, etc.) were also carried out. {A}ssessing whether the activities planned by the project were actually implemented and for as long and as often as planned is very important in order to link intervention activities to results; and to analyze implementation challenges in the field. {M}ethods: {O}ur research used the {C}arroll et al. (2007) and {P}erez et al. (2016) framework for analysing fidelity and adaptation to implementation. {W}e identified


the core activities planned for this project both through a review of the {AIRE} project documentation and by interviewing the operational teams. {W}e then interviewed the actors involved in the project in16 {PHC}s (health workers, heads of centers, etc.) to learn about the actual implementation of the activities. {R}esults: {I}n all countries, essential activities such as the training of agents and the distribution of {PO}s have been carried out, but have sometimes been modified compared to what was planned. {W}e note that the implementation of some activities varies between countries. {F}or example, in {G}uinea and {B}urkina {F}aso, visits to supervise the use of the {PO} were made more often than planned, while in {M}ali visits were less frequent in some centers due to safety issues. {I}n one country, technical support to the {PHC}s on drug management could not be carried out due to difficulties in recruiting a logistician. {C}onclusion: {D}ifferences in implementation fidelity between countries and between health centers may help explain variations in project outcomes.},
  keywords = {{BURKINA} {FASO} ; {GUINEE} ; {MALI} ; {NIGER}},
  volume = {5 ({S}uppl.)},
  numero = {{S}upplement},
  pages = {{A}1139 (1 )},
  booktitle = {},
  year = {2023},
  DOI = {10.18332/popmed/164453},
  ISSN = {2654-1459},
  URL = {https://www.documentation.ird.fr/hor/fdi:010095775},
}