Table 3 Barriers to the implementation
Dimension | Barrier | Description |
|---|---|---|
Inner setting | Insufficient human resources | Insufficient human resources and time due to demand for care and contextual factors |
Low commitment | Lack of key actors (directors and/or facilitators) with a greater commitment to the intervention due to leave of absence or other reasons | |
Insufficient knowledge about intervention | Professionals with low knowledge of the intervention | |
Outer setting and context | Lack of critical resources | Limited access to serology during much of the intervention period |
Health emergencies | Health emergencies (dengue outbreak and COVID-19 pandemic) absorbed time and resources and/or limited care activity in the centers | |
Individuals involved | Beliefs and attitudes related to the intervention | Reluctance to starting treatment at the first level of care for fear of side effects or lack of knowledge |