Table 3

Facilitators and barriers identified at the adoption phase

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

ResourcesAvailability 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

  • 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

  • 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)