Examining the variations in the implementation of interventions to address stillbirth from the national to subnational levels: Experiences from Uganda
Abstract
The current global burden of stillbirth disproportionately afects regions such as sub-Saharan Africa,
where Uganda is located. To respond to this burden, policies made at the national level were difused from the centre
and translated into service delivery at the district level, which is charged with implementation under the decentralization of health services arrangement. Variations emerge whenever policy recommendations are moved from national
to subnational levels, with some aspects often lost along the way. Tools are available to facilitate knowledge of determinants of policy and innovation implementation within the healthcare system. However, the extent to which these
have been applied to explain variations in implementation of interventions to address stillbirth reduction in Uganda
remains scant. The aim of this article was to examine the variations in the implementation of interventions to address
stillbirth from the national to the subnational levels in Uganda using the Consolidated Framework for Implementation
Research (CFIR).