Table 3

Facilitators and barriers identified at the adoption phase

Themes	Facilitators	Barriers
Management and collaboration	Clear role of leading organisation as coordinator of partners Commitment to the intervention among partners Win–win approach to collaboration Existing organiser’s network Internal collaboration among organisers and with external organisations Organisations with good reputations
Resources	Availability of funding Sufficient time Availability of personnel with the appropriate skills Availability of data Key figure or organisation providing technical skills and/or data	Lack of funding Lack of time Lack of personnel Lack of sufficiently trained personnel Lack of infrastructure
Leadership	Leading figure(s) with many contacts Strong political will Establishment of new government entity Key figure initiating data collection National/top–down initiative	Local resistance to change among organisations affected by intervention Lack of leadership among partnering organisations
Nature of the intervention	High-quality intervention (good evidence of efficacy) Low funding requirements Economic incentive for enforcement Intervention already trialled in another country or region Intervention constituted extension of existing programme Experience from other (comparable) countries Integrated preintervention research (eg, needs assessment)	Pioneering a new strategy Internal disagreement among project partners regarding aspects of the intervention (eg, differing visions of how the intervention would be when implemented) Design of safety device—unappealing to public
Political, social and cultural environment	Previous and current national gov. policies/reports/strategies/agendas/enquiries Relevant international reports/strategies Incoherent existing policies causing controversy Cross-sectoral committee/support Existing safety laws	Lack of safety culture among population Linguistic or cultural challenges Armed conflict Lack of clarity regarding confidentiality of data
Visibility	Wide public recognition of problem (eg, media focus on injury issue) Media campaign/media participation/ publicity events Public and governmental pressure Window of opportunity to spur government action	Lack of public demand Issue not prioritised in government strategy Local government apathy Low media visibility
Nature of the injury problem		Intersectoral nature of child injury prevention—shared or unclear responsibility Taboo subject (eg, suicide)