Program Implementers Research Articles

Cultural aspect of education in pedagogical research in Kyrgyzstan and China

Relevance. The relevance of the study is determined by the need for a detailed consideration of the cultural approach in the context of education, in particular, its implementation in educational programmes. Purpose. This research is to identify the differences in the influence of culture on the education systems of China and Kyrgyzstan and to develop recommendations for improving the work of the educational system. Methodology. The following methods were used: system analysis, logical analysis, method of comparison, synthesis, deduction, and method of classification. Results. The study results are presented in the research: attitudes to education in Kyrgyzstan and China are described, the main features of education in Kyrgyzstan and China from the cultural aspect are identified, the main features of Chinese and Kyrgyz pedagogical research in the cultural context are identified, the discourses of the reviewed studies are compared, the main differences and similarities in the cultural aspect of education between Kyrgyzstan and China are presented, the principles underlying the design and development of scientific and pedagogical knowledge are listed and analysed. Conclusions. The research highlights the importance of integrating cultural approaches into modern education, emphasizing the role of cultural heritage in shaping national identity, fostering multicultural competence, and promoting understanding and respect for diverse cultures, ultimately enriching educational experiences and societal development. Keywords: methodological approaches of teaching; national identity; recommendations for improvement; curricula; comparison of approaches; socio-cultural dynamics of society

What do you think it means? Using cognitive interviewing to improve measurement in implementation science: description and case example

Pragmatic measures are essential to evaluate the implementation of evidence-based interventions. Cognitive interviewing, a qualitative method that collects partner feedback throughout measure development, is particularly useful for developing pragmatic implementation measures. Measure developers can use cognitive interviewing to increase a measure’s fit within a particular implementation context. However, cognitive interviewing is underused in implementation research, where most measures remain “homegrown” and used for single studies. We provide a rationale for using cognitive interviewing in implementation science studies and illustrate its use through a case example employing cognitive interviewing to inform development of a measurement-based care protocol for implementation in opioid treatment programs. Applications of cognitive interviewing, including developing a common language with partners and collecting multi-level feedback on assessment procedures, to improve measurement in implementation science are discussed.

Factors influencing implementation of mass drug administration for lymphatic filariasis elimination: a mixed-method study in Odisha, India.

Background: Lymphatic filariasis (LF) persists as a public health problem in India. Despite more than ten rounds of mass drug administration (MDA), LF continues to be endemic in the Dhenkanal district of Odisha. Hence, we assessed the coverage and compliance of the MDA program and explored the factors affecting it in the Dhenkanal district. Methods: An explanatory mixed-method study was conducted, wherein for the quantitative survey, 552 participants aged 2years and above were recruited following a multistage cluster random sampling during February 2022. In-depth interviews were conducted among purposively selected key stakeholders and program implementers. Descriptive statistics were used to report coverage and compliance, along with a 95% confidence interval. Qualitative data were analyzed using a thematic approach. Results: We observed coverage of 99.28% and compliance of 85.87% for MDA drugs. Supervised drug administration proved to be a major pillar in increasing compliance. There was difficulty in administering drugs in urban areas due to gated societies, the absence of individuals during the day, and the perspective toward healthcare providers. Participants reported a lack of confidence in drug distributors and a fear of side effects as major causes for non-compliance. Conclusion: There is a need to strengthen MDA, especially in urban areas. An urban-specific strategy, along with surveillance, behavioral change communication, and the involvement of multi-disciplinary teams, is required.

Implementation and Impact of Perinatal Food Is Medicine Programs: A Qualitative Research Study

BackgroundImproving social determinants of health, such as access to nutritious food, is crucial for achieving health equity. Nutrition insecurity, especially during pregnancy and postpartum, can lead to poor maternal and birth outcomes. Food is Medicine (FIM) programs, which integrate food into the health care system to prevent or manage disease, have the potential to improve nutrition insecurity, but research about perinatal FIM programs is limited. ObjectiveThe purpose of this study was to explore perceptions of public health impacts of perinatal FIM programs from the perspectives of both program implementers and program supporters and implementation strategies used to enhance program adoption, implementation, and maintenance. DesignQualitative data were collected through semi-structured interviews. The interview guide was based on the Reach, Effectiveness, Adoption, Implementation, Maintenance framework. Participants/settingProgram implementers (n = 16) and program supporters (n = 20) were recruited across the United States through purposive sampling in 2022 and 2023. AnalysisData were analyzed using deductive thematic analysis and an iterative feedback loop with the project partner. ResultsInterviews were completed with program implementers and program supporters and generated meaning units (n = 1,942), which were coded into themes aligned with each Reach, Effectiveness, Adoption, Implementation, Maintenance dimension. Perinatal FIM programs reached multiple priority populations who were mainly recruited through health care systems. Effectiveness measures typically included nutrition patterns and practices, as well as return on investment. Motivations for adopting programs primarily included partnerships and connections, financing, and policies and laws. Program components varied and were adapted to meet participants and setting needs. Policy, evidence, funding, and partnerships could lead to program maintenance. Implementation strategies applied by the program supporters included financial strategies and infrastructure changes. ConclusionsThere is a need to identify the core functions and adaptable forms of perinatal FIM programs, which could lead to identification of standard evaluation metrics. This could result in greater uptake by potential delivery agents, increased funding and policy support, and enhanced benefits for perinatal population experiencing health disparities.

Participants' Experiences With a Community Based Participatory Research Produce Prescription Program: Findings From a Qualitative Study.

The purpose of this study was to explore a food-insecure, low income, predominantly African American community's experiences with a produce prescription program (PPP). Researchers conducted 3 focus groups and 4 individual interviews with Maywood Veggie Rx (VRxM) participants asking questions about the logistics of the program while also exploring ideas around health, food, and community. This produce prescription program took place in Maywood, Illinois which is an urban underserved community with 23.5K people, most of whom are Black/African American (61%) and Hispanic (32%). The 24 participants interviewed through focus groups and individual interviews were enrolled in the 2021-2022 VRxM program. Participants were mainly female, with only three participants being males. Ages ranged between 34 and 74 years of age with a mean age of 56.3. Qualitative data from transcripts were then coded via a grounded theory approach to identify common themes. A research team of seven including the two Co-PIs, three medical students and two dietetic interns identified 278 codes which were then condensed into 117 codes and then placed into 9 categories. Researchers identified three recurrent themes among the experiences of VRxM participants: (1) trust building, (2) culturally relevant and adaptive nutrition education, and (3) bidirectional feedback. These three themes mirror many of the principles of Community Based Participatory Research (CBPR). The study findings identify common themes among the experiences of VRxM which are in line with the collaborative approach of CBPR principles. Produce Prescription Programs should utilize CBPR principles in the creation and implementation of programming to improve the participant experience. Future research should include additional focus groups on new iterations of VRxM and should also include those people who chose not to participate in VRxM to explore barriers to participation.

The role of mHealth intervention to improve maternal and child health: A provider-based qualitative study in Southern Ethiopia.

Maternal and child mortality remained higher in developing regions such as Southern Ethiopia due to poor maternal and child health. Technologies such as mobile applications in health may be an opportunity to reduce maternal and child mortality because they can improve access to information. Therefore, the main aim of this study was to explore the role of mHealth in improving maternal and child health in Southern Ethiopia. This study employed a qualitative study design to explore the role of mHealth in improving maternal and child health among health professionals in Southern Ethiopia from December 2022 to March 2023. We conducted nine in-depth interviews, six key informants' in-depth interviews, and four focused group discussions among health professionals. This is followed by thematic analyses to synthesize the collected evidence. The results are based on 226 quotations, 5 major themes, and 24 subthemes. The study participants discussed the possible acceptance of mHealth in terms of its fitness in the existing health system, its support to health professionals, and its importance in improving maternal and child health. The participants ascertained the importance of awareness creation before the implementation of mHealth among women, families, communities, and providers. They reported the importance of mHealth for mothers and health professionals and the effectiveness of mHealth services. The participants stated that the main challenges related to acceptance, awareness, negligence, readiness, and workload. However, they also suggested strategic solutions such as using family support, provider support, mothers' forums, and community forums. The evidence generated during this analysis is important information for program implementations and can inform policy-making. The planned intervention needs to introduce mHealth in Southern Ethiopia. Planners, decision-makers, and researchers can use it in mobile technology-related interventions. For challenges identified, we recommend solution-identified-based interventions and quality studies.

Empowering the community of Bokesan village through production of So Ikie (Nila-algae fish sausage)

Fish and algae (seaweed) are abundant commodities in Yogyakarta. The potential for high fiber sausages which have advantages needs to be socialized to the public. The aim of this activity is outreach including education and training for housewives in the hamlet of Bokesan, Sindumartani, Ngemplak, Sleman, Yogyakarta. This area already has local potential for tilapia cultivation. Housewives in Bokesan hamlet are members of the Mina Mandiri business group. The processed tilapia fish product that has been developed is tilapia fish chips or crispy tilapia. With the abundant availability of tilapia in the area, the So Ikie product (tilapia-algae fish sausage) will be developed. The Mina Mandiri business group needs insight into healthy food, So Ikie high fiber sausage products, So Ikie processing skills, packaging and labeling to increase Nutripreneurship empowerment. Nutripreneurship empowerment is carried out by providing education and training. The education provided includes material about healthy food, healthy lifestyles, and Nutripreneurship through diversification of tilapia-based preparations. The training provided is the practice of processing tilapia-algae fish sausage products as a diversification of tilapia-based products. The participants took part in community service activities with enthusiasm and enthusiasm. Empowerment of Nutripreneurship partners can be seen in increasing insight, skills, motivation and commitment to carrying out Nutripreneurship. This is demonstrated by the results of pre and posttest assessments, the quality of practical products, evaluation of activity implementation, and the implementation of follow-up programs independently by partners. The independent follow-up program implemented includes production activities resulting from training.

Incidence of possible serious bacterial infection in young infants in the three high-burden countries of the Democratic Republic of the Congo, Kenya, and Nigeria: A secondary analysis of a large, multi-country, multi-centre clinical trial.

Neonatal infections are a major public health concern worldwide, particularly in low- and middle-income countries, where most of the infection-related deaths in under-five children occur. Sub-Saharan Africa has the highest mortality rates, but there is a lack of data on the incidence of sepsis from this region, hindering efforts to improve child survival. We aimed to determine the incidence of possible serious bacterial infection (PSBI) in young infants in three high-burden countries in Africa. This is a secondary analysis of data from the African Neonatal Sepsis (AFRINEST) trial, conducted in the Democratic Republic of the Congo (DRC), Kenya, and Nigeria between 15 March 2012 and 15 July 2013. We recorded baseline characteristics, the incidence of PSBI (as defined by the World Health Organization), and the incidence of local infections among infants from 0-59 days after birth. We report descriptive statistics. The incidence of PSBI among 0-59-day-old infants across all three countries was 11.2% (95% confidence interval (CI) = 11.0-11.4). The DRC had the highest incidence of PSBI (19.0%; 95% CI = 18.2-19.8). Likewise, PSBI rates were higher in low birth weight infants (24.5%; 95% CI = 23.1-26.0) and infants born to mothers aged <20 years (14.1%; 95% CI = 13.4-14.8). The incidence of PSBI was higher among infants delivered at home (11.7%; 95% CI = 11.4-12.0). The high burden of PSBI among young infants in DRC, Kenya, and Nigeria demonstrates the importance of addressing PSBI in improving child survival in sub-Saharan Africa to reach the Sustainable Development Goals (SDGs). These data can support government authorities, policymakers, programme implementers, non-governmental organisations, and international partners in reducing preventable under-five deaths. Australian New Zealand Clinical Trials Registry: ACTRN12610000286044.

From efficacy to effectiveness: a comprehensive framework for monitoring, evaluating and optimizing seasonal malaria chemoprevention programmes

BackgroundSeasonal Malaria Chemoprevention (SMC) is a highly effective intervention for preventing malaria, particularly in areas with highly seasonal transmission. Monitoring and evaluating (M&E) SMC programmes are complex due to the scale, time-sensitive delivery of the programme, and influence of external factors. This paper describes the process followed to develop a comprehensive M&E framework tailored specifically for the SMC context.MethodsThe Framework was developed through a literature and programme review, and stakeholder dialogues across three implementing countries—Burkina Faso, Chad, and Nigeria. Expert consultation further refined the Framework through an iterative approach drawing upon data collected through the three sources. The Framework was designed using the Logical Framework Approach incorporating external factors and intentionally aligned with global malaria M&E standards.ResultsAn overall aim and seven programme objectives were developed measured by 70 indicators. The indicators also capture the causal links between the implementation and results of the programme. The Framework leverages the use of current data sources and existing mechanisms, ensuring efficient data use without requiring a significant increase in resources for overall programme optimization. It also promotes the use of data triangulation, and stratification for a more nuanced understanding of factors affecting programme performance and timely data informed decision-making.ConclusionsThe SMC M&E Framework presented here provides a standardized approach for programme implementers to enhance decision-making for optimal programme performance. This is an essential tool as the scope of SMC programmes expands to new geographies and target age groups.

International Federation of Red Cross and Red Crescent Societies (IFRC) and its contribution to the development of Humanitarian Diplomacy

This article deals with the role of the International Federation of Red Cross and Red Crescent Societies (IFRC) in the development of humanitarian diplomacy. As one of the largest humanitarian organizations in the world, the IFRC plays a key role in coordinating and providing assistance in emergencies, as well as in strengthening international cooperation and advocacy. The article analyses the main areas of IFRC activities, including its efforts to provide humanitarian assistance in areas of armed conflict, natural disasters and other crisis situations. The mechanisms of the Federation's interaction with state structures, international organizations and non-governmental actors are considered, and their effectiveness is assessed. Special attention is paid to such aspects as resource mobilization, development and implementation of emergency preparedness programs, and support and protection of vulnerable groups. The author provides a detailed analysis of key initiatives and programs implemented by the IFRC, such as the “More Than Aid” strategy, the “Time for Humanitarian Action” initiative and climate change programs. The article uses general scientific methods and the method of situation analysis, which made it possible to determine the scope of scientific research and clarify the basic concepts and categories associated with the formation and development of the phenomenon of humanitarian diplomacy. In the process of preparing the article, such general scientific methods of cognition as analysis, synthesis, deduction, induction, comparison, analogy, abstraction and generalization were used. A comprehensive and systematic study of the topic of the article is missing in the science of international relations. The article concludes on the relevance of the IFRC's activities for the development of humanitarian diplomacy and gives recommendations for strengthening its role in the future. The author proposes strategic directions to improve the IFRC's engagement with various actors in the international arena and to coordinate humanitarian efforts better globally.

A qualitative focus group analysis: Increasing fieldwork capacity in genetic counseling training programs.

Genetic counselors are an integral part of the healthcare system; however, the number of genetic counselors in many parts of the United States is limited, impacting access to comprehensive healthcare for all patients. One solution to addressing this deficit includes modifying genetic counseling training programs to increase student enrollment. Fieldwork capacity, driven by a limited number of rotation sites and supervisors, produces a significant bottleneck to entering the profession. Other professions have reported on techniques to increase fieldwork capacity; however, the practicality of these techniques for genetic counseling training has yet to be explored. This study seeks to investigate the perspectives of key stakeholders in genetic counseling training programs on the practicality of techniques already posited in the literature from other allied health professions. Semi-structured focus group interviews with 25 participants were conducted at the 2019 National Society of Genetic Counselors conference. Participants included program directors and supervisors from clinical, industry, and laboratory backgrounds. The focus group responses were analyzed using directed content analysis and a split coding technique, after which several themes emerged within the larger domains of rotation structures, systems infrastructure, skill-building methods, and other novel techniques to increase fieldwork capacity. Emerging themes included the importance of finding quality student placements rather than maximizing the quantity of participatory cases; a need for transparency about the transferability of skills learned from novel experiences; scaffolding student entrustment to expand supervisor capacity; and recognizing nuances in implementation for individual programs. Overall, the results emphasize the importance of openness in communication to manage expectations for students and supervisors, who may be more hesitant to try novel rotation placements and skill-building techniques. Genetic counseling programs may use these results to address the bottleneck of fieldwork capacity, increasing student enrollment.

Lessons learnt and best practices in scaling up an emergency transportation system to tackle maternal and neonatal mortality: a qualitative study of key stakeholders in Shinyanga, Tanzania

ObjectiveThis study aimed to document lessons learnt and best practices for scaling up an innovative emergency transportation system, drawing insights from the m-mama programme implemented in Shinyanga, Tanzania. The m-mama...

Impact of algorithmic and data structure implementation to game development

Many game developers tend to build their proprietary game engines with various algorithmic and data structure implementations. This work discusses a game made using the Pygame library that utilizes a maze generation algorithm, collision detection algorithm, and 2d shadow drawing algorithm to analyze how programming implementation could impact the game's representation, optimization, and future development. In this paper, various algorithms and data structures are compared based on their characteristic and performance, which leads to an analysis of how the game would differ from its current state if alternative implementations are used. It also addresses the issues raised by algorithms and data structures based on their interdependence relationship.

B-Plane Resonant Flybys: Theory Extension to Elliptical Orbits and Dynamic Programming Application

A convenient formalism for the design of resonant flyby trajectories is the B-plane, where postencounter orbits with target resonance conditions or semimajor axes can be analytically mapped. This framework has been developed by many authors starting from the classical Öpik’s theory for close encounters, but it still relies on the approximation of circular orbits of the flyby bodies. In this work, the theory is analytically extended to account for elliptical planetary orbits. The classical and the extended formulations are tested and compared on two mission design applications, showing nonnegligible differences when the flyby body has a marked eccentricity. Further validation using a full three-body model confirmed the greater accuracy of the extended formulation. The second part of the paper proposes an efficient dynamic programming approach to the design of unperturbed resonant flybys. This problem has traditionally been addressed within broader optimization frameworks involving generic multiple gravity assists. However, focusing only on the resonant sequence allows the problem to feature a convenient structure for the implementation of dynamic programming. The developed algorithm is tested by reproducing the design of Solar Orbiter’s resonant phase with Venus, used in the actual mission to gradually raise the ecliptic inclination and reduce the distance at perihelion.

Implementasi Program Bimbingan Belajar “Ahad Skuy” dalam Mendorong Moderasi Agama di Desa Kebonrejo Kabupaten Kediri

This article aims to analyze the impact of the Real Work Lecture (Kuliah Kerja Nyata or KKN) program on religious modernization in Kebonrejo Village, Kepung District, Kediri Regency. Kebonrejo Village is a predominantly Islamic village, but its community still holds traditional understandings of Islam. The KKN program implemented in Kebonrejo Village aims to enhance religious tolerance in community life. The research uses the Participatory Action Research (PAR) method, which involves the community in the research process. In this study, the Kebonrejo Village community participates in the planning, implementation, and evaluation of the KKN program. The results of the research show that the KKN program conducted in Kebonrejo Village has had a positive impact on religious moderation in the village. The Kebonrejo Village community now has a better understanding of Islamic teachings that can bridge the differences within the society, leading to increased tolerance towards religious diversity.

Special Autonomy Policy of Papua Province

Papua Province has a special regulation that regulates the sustainability of the wheels of government in Papua Province, namely the Special Autonomy of Papua Province. Law number 21 of 2001 concerning Special Autonomy of Papua which has been amended into Law Number 2 of 2021 concerning the Second Amendment to Law Number 21 of 2001 concerning Special Autonomy for Papua Province. Provide traffic for Papua Province to carry out special autonomy. Referring to this explanation, the author is interested in being able to conduct a study on the Special Autonomy Policy of Papua Province. This research uses Qualitative techniques with Snow Ball Technique research informants. The conclusions of the research results are as follows: Special autonomy policy has not been implemented effectively. Limitations of policy implementation in satisfying (1) the interests of affected parties, (2) the types of benefits received, (3) the expected rate of change, (4) the location of decision making, (5) program implementers, and (6) resource commitments, theoretically, indicate a lack of intended optimality. In addition, deficiencies were identified in (7) estimating player strength; (8) foresee the interests of actors; (2009) predicted the tactics of the actors; 10) foresee regime and institutional features; (11) estimating compliance; and (12) estimate the response. In practice, the implementation of special autonomy policies has improved the Human Development Index of Papua Province. There are three types of obstacles that hinder Papua Province's efforts in implementing the special autonomy policy and improving the Human Development Index: structural, cultural, and conditional. Structural constraints are caused by the power dynamics of the political elite as well as the work culture, leadership, and mindset of the bureaucratic apparatus, most of which are KKKN. Cultural limitations are a result of the scarcity of human, social, and traditional resources that have been deeply embedded in the daily lives of indigenous Papuans. Conditional restrictions are restrictions caused by poverty caused by limitations, community decline, and remote locations. resources with an individual focus

Strategies to decrease inequalities in cancer therapeutics, care and prevention: Proceedings on a conference organized by the Pontifical Academy of Sciences and the European Academy of Cancer Sciences, Vatican City, February 23-24, 2023.

Analyses of inequalities related to prevention and cancer therapeutics/care show disparities between countries with different economic standing, and within countries with high Gross Domestic Product. The development of basic technological and biological research provides clinical and prevention opportunities that make their implementation into healthcare systems more complex, mainly due to the growth of Personalized/Precision Cancer Medicine (PCM). Initiatives like the USA-Cancer Moonshot and the EU-Mission on Cancer and Europe's Beating Cancer Plan are initiated to boost cancer prevention and therapeutics/care innovation and to mitigate present inequalities. The conference organized by the Pontifical Academy of Sciences in collaboration with the European Academy of Cancer Sciences discussed the inequality problem, dependent on the economic status of a country, the increasing demands for infrastructure supportive of innovative research and its implementation in healthcare and prevention programs. Establishing translational research defined as a coherent cancer research continuum is still a challenge. Research has to cover the entire continuum from basic to outcomes research for clinical and prevention modalities. Comprehensive Cancer Centres (CCCs) are of critical importance for integrating research innovations to preclinical and clinical research, as for ensuring state-of-the-art patient care within healthcare systems. International collaborative networks between CCCs are necessary to reach the critical mass of infrastructures and patients for PCM research, and for introducing prevention modalities and new treatments effectively. Outcomes and health economics research are required to assess the cost-effectiveness of new interventions, currently a missing element in the research portfolio. Data sharing and critical mass are essential for innovative research to develop PCM. Despite advances in cancer research, cancer incidence and prevalence is growing. Making cancer research infrastructures accessible for all patients, considering the increasing inequalities, requires science policy actions incentivizing research aimed at prevention and cancer therapeutics/care with an increased focus on patients' needs and cost-effective healthcare.

Evaluation of the Effectiveness of CSR Programs on Community Behavior Change in Forest Conservation

Global warming can cause climate change and have a broad impact on people's lives. The increase in global temperature is caused by increased carbon emissions due to deforestation in various countries. Forests play a very important role in solving the carbon emissions problem. One source of carbon dioxide emissions throughout the world is the existence of Tropical Forests. One of the countries that has the largest tropical forest in the world is Indonesia. Kalimantan Island is one of the largest islands and has the largest forest area in Indonesia. This research was conducted at PT. Asmin Bara Bronang who runs the company's CSR program. The variables are the implementation of CSR programs, the targets of the CSR programs implemented and their impact on changes in community behavior in forest conservation. This research also discusses the relationship between implementing CSR programs with ISO 26000 and the Sustainable Development Goals. The sampling technique used was purposive sampling. Data collection was carried out through interviews with 43 sources consisting of PT Asmin Bara Bronang employees and community recipients of the CSR program. The collected data was then analyzed using the content analysis method. Research shows PT. Asmin Bara Bronang carries out a CSR program contributes to changes in the behavior of the Dayak Ngaju community in efforts to preserve Kalimantan's forests. It is hoped that this research can complement the literature regarding the implementation of CSR programs in supporting forest conservation programs

Implementation Of Object-Oriented Programming With Pyqt: Development Of Calculation Application

This practical report discusses the implementation of object-oriented programming using PyQt in developing calculation applications. The discussion includes application development steps, object structure, and responsive user interface integration. The development method used incorporates object-oriented programming concepts to increase modularity and maintainability of the code. The resulting calculation application is able to provide an interactive and efficient user experience. It is hoped that the results of this practicum can be a reference for students of object-oriented programming and application development using PyQt

What contributes to the long-term implementation of an evidence-based early childhood intervention: a qualitative study from Germany.

Rigorous research trials have demonstrated that early childhood interventions can reach socially disadvantaged families and can have a lasting impact on the healthy development of their children. However, little is known about the internal and contextual factors that contribute to the long-term implementation of such interventions. In this study, we investigated the development of the home visiting program Pro Kind. The program was adapted from the evidence-based US-American Nurse-Family Partnership program and was implemented in Germany in 2006. Using an exploratory approach, we examined factors contributing to the long-term implementation of this program. Qualitative interviews with program implementers (midwives, social workers, program managers) of the Pro Kind program and key stakeholders in two cities in Germany were conducted. Interview guides were developed to assess participants' perceptions and experiences on how the program had developed over time internally and in the interaction with its environment. Data were collected between March and September 2021. Drawing on the Consolidated Framework for Implementation Research (CFIR), data was coded according to the principles of thematic analysis. A total of 25 individuals (11 program implementers, 14 key stakeholders) were interviewed. The identified factors related to three out of five domains of the CFIR model in our analysis. First, regarding the intervention characteristics, the evidence of effectiveness and the relative advantage of the implementation of the program compared to similar interventions were viewed as contributors to long-term implementation. However, the program's adaptability was discussed as a constraining factor for reaching the target group. Second, concerning the inner setting, stakeholders and program implementers perceived the implementation climate, the leadership engagement and the program's size as relevant factors for networking strategies and program visibility. Third, as part of the outer setting, the degree of networking with external stakeholders was highlighted of great importance for the program. We identified several factors of particular importance for the long-term implementation and sustainability of an early childhood intervention at the practice level, particularly in the local context in Germany. These findings should inform the design of impactful, scalable, and sustainable early childhood interventions targeting disadvantaged families.