TY - JOUR
T1 - Implementing implementation science
T2 - an approach for HIV prevention, care and treatment programs
AU - Lambdin, Barrot H.
AU - Cheng, Ben
AU - Peter, Trevor
AU - Mbwambo, Jessie
AU - Apollo, Tsitsi
AU - Dunbar, Megan
AU - Udoh, Ifeoma C.
AU - Cattamanchi, Adithya
AU - Geng, Elvin H.
AU - Volberding, Paul
N1 - Publisher Copyright:
© 2015 Bentham Science Publishers.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Though great progress has been realized over the last decade in extending HIV prevention, care and treatment in some of the least resourced settings of the world, a substantial gap remains between what we know works and what we are actually achieving in HIV programs. To address this, leaders have called for the adoption of an implementation science framework to improve the efficiency and effectiveness of HIV programs. Implementation science (IS) is a multidisciplinary scientific field that seeks generalizable knowledge about the magnitude of, determinants of and strategies to close the gap between evidence and routine practice for health in real-world settings. We propose an IS approach that is iterative in nature and composed of four major components: 1) Identifying Bottlenecks and Gaps, 2) Developing and Implementing Strategies, 3) Measuring Effectiveness and Efficiency, and 4) Utilizing Results. With this framework, IS initiatives draw from a variety of disciplines including qualitative and quantitative methodologies in order to develop new approaches responsive to the complexities of real world program delivery. In order to remain useful for the changing programmatic landscape, IS research should factor in relevant timeframes and engage the multi-sectoral community of stakeholders, including community members, health care teams, program managers, researchers and policy makers, to facilitate the development of programs, practices and polices that lead to a more effective and efficient global AIDS response. The approach presented here is a synthesis of approaches and is a useful model to address IS-related questions for HIV prevention, care and treatment programs. This approach, however, is not a panacea, and we will continue to learn new ways of thinking as we move forward to close the implementation gap.
AB - Though great progress has been realized over the last decade in extending HIV prevention, care and treatment in some of the least resourced settings of the world, a substantial gap remains between what we know works and what we are actually achieving in HIV programs. To address this, leaders have called for the adoption of an implementation science framework to improve the efficiency and effectiveness of HIV programs. Implementation science (IS) is a multidisciplinary scientific field that seeks generalizable knowledge about the magnitude of, determinants of and strategies to close the gap between evidence and routine practice for health in real-world settings. We propose an IS approach that is iterative in nature and composed of four major components: 1) Identifying Bottlenecks and Gaps, 2) Developing and Implementing Strategies, 3) Measuring Effectiveness and Efficiency, and 4) Utilizing Results. With this framework, IS initiatives draw from a variety of disciplines including qualitative and quantitative methodologies in order to develop new approaches responsive to the complexities of real world program delivery. In order to remain useful for the changing programmatic landscape, IS research should factor in relevant timeframes and engage the multi-sectoral community of stakeholders, including community members, health care teams, program managers, researchers and policy makers, to facilitate the development of programs, practices and polices that lead to a more effective and efficient global AIDS response. The approach presented here is a synthesis of approaches and is a useful model to address IS-related questions for HIV prevention, care and treatment programs. This approach, however, is not a panacea, and we will continue to learn new ways of thinking as we move forward to close the implementation gap.
KW - AIDS
KW - Antiretroviral therapy
KW - HIV
KW - HIV Prevention
KW - HIV treatment
KW - Implementation science
KW - Key populations
KW - Methadone
UR - http://www.scopus.com/inward/record.url?scp=84929666528&partnerID=8YFLogxK
U2 - 10.2174/1570162x1303150506185423
DO - 10.2174/1570162x1303150506185423
M3 - Article
C2 - 25986374
AN - SCOPUS:84929666528
VL - 13
SP - 244
EP - 249
JO - Current HIV Research
JF - Current HIV Research
SN - 1570-162X
IS - 3
ER -