Exploring fidelity and its influence on effectiveness in an audit and feedback strategy implemented in a low-resource setting: an application of regression modeling
Participation in audit and feedback meetings, the number of action plans elaborated, and the degree of completion of micro-interventions seem to be related to the effectiveness results. IDEAs should be adapted to reduce the number of action plans elaborated and promote better micro-intervention completion. Additionally, combining audit and feedback strategies with other strategies might enhance effectiveness in service outcomes. This study examines how to analyze the link between fidelity and effectiveness of a strategy to inform better design and recommend context-specific improvements.
Authors
- Orvalho Augusto (ORCID: https://orcid.org/0000-0002-0005-3968)
- Bryan J. Weiner (ORCID: https://orcid.org/0000-0002-6996-9480)
- Sarah Gimbel (ORCID: https://orcid.org/0000-0003-3330-1208)
- Ermyas Birru (ORCID: https://orcid.org/0000-0001-9393-2533)
- Stephen Gloyd (ORCID: https://orcid.org/0000-0001-7017-8750)
- Quinhas Fernandes (ORCID: https://orcid.org/0000-0002-1539-0967)
- Grace C. John-Stewart (ORCID: https://orcid.org/0000-0002-4301-1573)
- Aneth Dinis (ORCID: https://orcid.org/0000-0003-4596-2214)
- Isaías Ramiro (ORCID: https://orcid.org/0009-0002-9568-6633)
- Dorlim Moiana Uetela (ORCID: https://orcid.org/0000-0002-2531-6402)
- Kenneth Sherr (ORCID: https://orcid.org/0000-0002-2963-0829)
Institutions
- Eduardo Mondlane University (MZ)
- University of Washington (US)
- Instituto Nacional de Saúde (MZ)
- Instituto Superior de Ciencias de Saude (MZ)
- Ministry of Health (MZ)
Publication Details
- Journal
- Implementation Science Communications
- Published
- 2025-12-12
- DOI
- https://doi.org/10.1186/s43058-025-00840-8
- Primary Topic
- Health Policy Implementation Science
- Type
- article
- Field-Weighted Citation Impact
- 0.00