Table 8 Summary of PBF implementation results in the three health districts according to the five CFIR domains

1. 1. 1. Characteristics of the intervention

- PBF perceived as a foreign intervention

- Difficulty citing the name of the funder

- Perceptions of a complicated intervention

2. 1. 1. 1. 1. External context

- Late recourse to care

- Insufficient vaccination coverage of children

- PBF network not well developed among the health personnel involved in its implementation

- Presence of NGOs that could contribute to the achievement of PBF objectives

- Implementation of the Social and Health Development Program

3. 1. 1. 1. Internal context

- Strong correlation between level of information and level of education

Experience of having been involved in implementing a previous PBF project

First experience of involvement in a PBF project

First experience of involvement in a PBF project

- Personnel focused on financial incentives

- Appearance of different forms of engagement towards PBF

- Perceptible frustration among staff with less training

4. 1. Characteristics of individuals

- Personnel receptive to change

Arguments in favour of PBF were based on the success of the previous PBF project

Arguments in favour of PBF were based on the values attributed to it and on rumours about the PBF project

Arguments in favour of PBF were based on the values attributed to it and on rumours about the PBF project

- Perceived link between PBF objectives and professional values held by workers

5. 1. 1. 1. 1. Implementation process

- Schedule of planned activities not respected

Greater proficiency with PBF tools and content

Low proficiency with PBF tools and content

Low proficiency with PBF tools and content

- Reforms implemented to maximise results

- Increased connivance among workers

- Increased presence of skilled personnel during on-call shifts

- Recruitment of new personnel by some CSCOMs