Skip to main content

Table 2 Community health systems lenses and the corresponding ERIC clusters and discrete strategies

From: Implementation strategies for decentralized management of multidrug-resistant tuberculosis: insights from community health systems in Zambia

Community health systems lenses

ERIC clusters

Discrete strategies

Programmatic lens

Changing infrastructure

- Refurbishing and expanding health facilities to accommodate management of MDR TB

Adapting and tailoring clinical and diagnostic services to the context

- Integrated outreach services

- Enhanced referral system

- Designating days for outreach services

Training and educating health providers

- Providing ongoing training

Using evaluative and iterative strategies to review program performance

- Developing and organizing quality monitoring systems

- Regular audit and feedback processes

Relational lens

Providing interactive assistance

- Providing local technical assistance through clinical expert committees

Supporting clinicians

- Developing health worker and community health work outreach teams

- Zoning districts

Collective action lens

Engaging consumers

- Increasing demand by using community networks and events

- Involving patients and family members

- Intervening with patients to enhance uptake and adherence