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Table 1 Facilitators and barriers to the implementation of Präventionskette Freiham identified in the interviews with the network coordinators and members of the local network and in the focus group with members of the advisory group

From: Process evaluation of an integrated community-based intervention for promoting health equity in children in a new residential development area

Topic

Facilitator

Barrier

Signifying quote

Resources

• Sufficient funding for network coordinators

• Sufficient resources (workforce, funding) for local institutions

• Insufficient funding for network coordinators

• Insufficient resources (workforce, funding) for local institutions

“Time is always a barrier, for everyone. We experience this at schools currently, too. So, a second meeting is scheduled. But then, something more important comes up or someone gets ill and then the stakeholders do not come. Especially in day-to-day business, everything else is always more important or urgent.” (86744)

Administrative and political support

• Long-term engagement by municipal administration and politics

• Spending workforce to secure support

• Uncertain perspective of network coordinators preventing local stakeholders from engaging in network

“For many people, how much energy and time they put into networking depends on funding, if there is no funding after a year, they will probably hold back a bit.” (26626)

Network coordinators

• Well-connected at municipal and district level

• Ability to integrate different working cultures in the network

• Agenda-setting

• Independence from municipal administration

 

“That is certainly one task. Shaping the willingness to participate, finding the right topics that institutions cannot do just as well or better on their own (…)” (47134)

Network-internal processes

• Trust

• Continuity

• Transparent communication

• Participatory approach (professionals and target groups)

• Uncertainty about roles

• Uncertainty about tasks

“Or building personal, trusting contact with the institutions. (…) Then you know that you can contribute to the group, that you are taken seriously in the group.” (47134)

Trans-institutional cooperation

• Integrating actors from different sectors into the network

• Change of perspectives

• Vision of shared goals

• Differing needs of institutions

• Data protection regulations

“Independent of data protection, (…) the thought ´this is my client` is very strong in individual counselling of families. (…) You don’t talk about them outside, not even anonymously, and that’s how I know it.” (26626)

Perceived benefits to network members

• Increasing individual networks

• Information

• Uncertainty about benefits

“So, if I go there I would need some profit from it. Why do I go there? It would need to provide me some form of help. Or I would need to get some information in advance.” (36651)

Output

• Sustainability

• Early development status of residential area

• Pursuing short-term outcomes

“If people were already living in the area, then you could identify existing issues and work on them. I don’t know how to say this correctly, but if there are no real problems, challenges in the area yet, then you might be tempted to search for or create some.” (86744)