FERTILITY CARE IN LOW- AND MIDDLE-INCOME COUNTRIES: Policy, politics, and macro-level influences on implementation in Uganda

Following our analysis, several factors facilitated macro-level implementation including acknowledgement of infertility as a reproductive disease, strong political advocacy and oversight, government funding and multi-organizational collaboration. Barriers included poor public knowledge, absence of legislation, limited community leader engagement and diminished political support. Contributions: This study contributed to knowledge on external factors that influence sustainable implementation of LCIVF initiatives in low-resource settings and is one of the first studies to apply CFIR to infertility care implementation in a low-resource setting.