Sustainable Programs Research Articles

Public awareness, attitudes, behavior and norms building green hospitals' power

Hospitals function to provide health services to the community, but they have the potential to be contributors to hazardous waste, climate change, and global warming. The concept of green hospitals is now necessary for changing hospital functions developed by various hospitals worldwide. The success of the green hospital concept requires support from the perspective of the surrounding society. The research aims to analyze public awareness, attitudes, behavior, and norms to build the power of green hospitals. This research method is simple linear regression. The research instrument used a questionnaire. The respondents of this research were 400 green hospital users from Indonesia and Taiwan. The data analysis method includes tests for normality, linearity, and heteroscedasticity. Once these three tests are met, a linear regression analysis is conducted to understand the influence and prediction of public awareness, attitudes, behavior, and norms on building the power of green hospitals. The research results show that each aspect of public awareness, attitudes, behavior, and norms significantly positively influence the building of the power of green hospitals. Each additional value of public awareness, attitudes, behavior, and norms is expected to strengthen the image of a green hospital. Maintaining the sustainability of green hospital programs worldwide not only focuses on implementing the green concept but also needs to pay attention to public perception when choosing a hospital. The research contribution is significant to developing more sustainable green hospitals, increasing knowledge about green hospitals, and increasing public interest and perception of green hospitals.

Implementation of Artificial Intelligence in Retinopathy of Prematurity Care: Challenges and Opportunities.

The diagnosis of retinopathy of prematurity (ROP) is primarily image-based and suitable for implementation of artificial intelligence (AI) systems. Increasing incidence of ROP, especially in low and middle-income countries, has also put tremendous stress on health care systems. Barriers to the implementation of AI include infrastructure, regulatory, legal, cost, sustainability, and scalability. This review describes currently available AI and imaging systems, how a stable telemedicine infrastructure is crucial to AI implementation, and how successful ROP programs have been run in both low and middle-income countries and high-income countries. More work is needed in terms of validating AI systems with different populations with various low-cost imaging devices that have recently been developed. A sustainable and cost-effective ROP screening program is crucial in the prevention of childhood blindness.

DISTANCE LEARNING EXIT ECONOMIC MODEL

At the beginning of 2020, with the onset of the pandemic, the traditional learning environment for learners drastically changed globally. Since then, most students/teachers have started and practiced distance and virtual learning/teaching. Thus, a technological breakthrough in virtual learning has followed. In connection with this, many countries worldwide have commenced allocating additional financing and funds for educational institutions' technological improvement and development. The long-term stay in distance learning has revealed and highlighted new problems students face: their knowledge level has decreased, they lack socialization skills, and they face psychological and physical health problems. Due to this negative impact on students, a need to research and evaluate how much the EU countries allocated to solve the distance learning-caused problems and what programs or models they prepared has emerged and encouraged further studies. The research has found that many countries increased their allocations very minimally, e.g., 0.0.1%, but some increased their available budgets to 32%. Notably, most countries did not separate distance learning exit funding from distance learning preparation funding. Based on the problems the countries saw, only a few states identified withdrawal from distance learning as a problem. Considering this, we set ourselves the goal to evaluate exit models from distance learning and allocated funding amounts. To stabilize the impact of unforeseen events, such as epidemics, pandemics, military conflicts, etc., on learning processes, it is necessary to have sustainable solutions for managing learning processes in such situations. As revealed by the COVID-19 situation, the stability and continuity of the learning process remains very important even in emergencies. Stable and continuous learning can be ensured by practising sustainable distance learning, which must be based on sustainable tools. The results of this research are significant in terms of improving distance learning and providing qualitative and sustainable education. The current situation stimulates hybrid learning, which is increasingly becoming the foundation of sustainability in the education sector. Thus, to reverse the damage caused by distance learning and create a sustainable environment for blended learning, it is necessary to eliminate the negative effects of distance learning. This challenge will lead to the need for new sustainable blended learning programs. The following objectives were planned to achieve the goal: · to evaluate the global practice of exit from distance learning in the context of sustainability; · to determine the scope of funding for pandemic management; · to evaluate the amounts of funding allocated to manage pandemic-caused consequences and the GDP ratio. Research methods: mathematical-statistical analysis, empirical analysis, and analysis of scientific literature.

Parents’ Perception of In-Person Classes, Parental Support, and Academic Performance of Learners: Basis for a Sustainable Parental Support Program

Parents’ Perception of In-Person Classes, Parental Support, and Academic Performance of Learners: Basis for a Sustainable Parental Support Program

Sustainable Development Program: Synergism Integrated Farming System Implementation in Tambrauw, West Papua with A Holistic Approach

Indonesia, as an agricultural country with abundant natural resources, still faces the problem of poverty in various regions, especially in West Papua. The high poverty rate in this area is related to the low access to education, food security, and proper economic resources. In an effort to address these issues, the Integrated Farming System (IFS) is considered a potential solution to improve community welfare and support the Sustainable Development Goals (SDGs) targets. This study aims to identify the benefits, challenges and opportunities of IFS implementation in Tambrauw Regency, West Papua, with a focus on its contribution to the achievement of the five SDGs targets, including poverty and hunger alleviation, and improvement of quality of life and environment. The method used in this research is a descriptive qualitative study through literature review and secondary data analysis. Data were taken from various sources such as scientific journals, books, and official documents relevant to the research topic. The results show that the implementation of IFS in Tambrauw has the potential to increase agricultural and livestock productivity, create new jobs, and promote sustainable food production. In addition, the use of organic fertilizers and a holistic approach can have a positive impact on the environment and local communities. IFS is an effective program in supporting the achievement of SDGs through empowerment of local communities and sustainable use of existing resources. However, further support in the form of technological innovation and sustainable government policies are needed to ensure the long-term success of this program.

Aligning stakeholder goals: Implications for inclusive urban sustainability

The implementation of local sustainability policies is often hampered by differences between multi-level policy goals and the development priorities of local stakeholders. This study evaluates how an assessment of the differences between public, national, and international sustainable development priorities, such as the SDGs, might inform inclusive sustainability policies at the local level. Specifically, this paper aims to demonstrate the use of multi-stakeholder goal-alignment assessment through content analysis and public opinion surveys administered in three cities across Henan Province, China. The findings 1) draw from the systematic assessment of stakeholder priorities to identify three typologies of goal-alignment or misalignment that have implications for the design of initiatives that offer co-benefits and for the mediation of trade-offs in meeting sustainability goals, and 2) demonstrate an integrative approach to developing urban sustainability policies and programs using both top-down prescriptive sustainability goals and human-centered experiential priorities.

Management Framework for Quality Assurance to Strengthen Technology and TVET Pre-service Teacher Education

This study developed a management framework for quality assurance to enhance Technical-Vocational Education and Training (TVET) and technology pre-service teacher education programs in CALABARZON (Cavite, Laguna, Batangas, Rizal, and Quezon). Using the three-round Delphi consensus-building technique, the research assessed quality assurance practices and challenges in managing Bachelor of Technology and Livelihood Education (BTLEd) and Bachelor of Technical Vocational Teacher Education (BTVTEd) programs. The study also examined key factors affecting student performance in licensure examinations, career decision influences, and strategies to improve program appeal. Thirteen Delphi experts, including College Deans and program chairs, and 117 BTLEd and BTVTEd graduates participated. Thematic and statistical analyses, including the Mann-Whitney U test, compared assessment differences between graduates concerning licensure exam performance, career decisions, and program appeal strategies. The findings highlight that Teacher Education Institutions (TEIs) in the region prioritize quality assurance through curriculum reviews, faculty engagement, accreditation, facility maintenance, and continuous improvement. However, they face challenges such as resource limitations, curriculum misalignment, faculty development issues, and lack of specific quality assurance standards for TVET programs. Graduates noted factors influencing their licensure exam performance and career decisions, emphasizing the importance of review preparation, teaching strategies, and professional development. To enhance program appeal, there is a need for sustained career guidance, institutional initiatives, and program awareness efforts. The study recommends strengthening collaboration with stakeholders and implementing the proposed management framework to align with national and international standards.

Adult Education Program Implementers’ Understanding and Usage of Strategy Policy Documents in Addis Abab City Administration, Ethiopia

This study was targeted to assess adult education program implementers’ understanding towards adult education policy documents and usage of the documents in Addis Ababa City Administration. In order to guide the study qualitative method was applied. Accordingly, qualitative data was gathered using interview and document analysis. Qualitative data like views of respondents and result gained from document analysis were discussed by narrating the evidences/responses in words. As the findings of this study reveals, majority of adult education program implementers lack understanding about the policy documents of adult education sector; there is no established and sustainable awareness creation system and capacity building program for newly employed and other personnel; non-existence an established structure to lead adult education program according to the designed strategy documents are some of the results of the research. In order to overcome the challenges mentioned above adult education implementing organizations have to launch continuous professional development (CPD) program for implementers of adult education program. Consequently, implementers of the program can get first-hand information on the policy documents on one hand and they can also upgrade their profession on the other hand.

Feasibility of a culturally adapted technology-delivered, family-based childhood obesity intervention for Latino/Hispanic families in rural Nebraska: the Hispanic Family Connections study protocol

IntroductionAddressing childhood obesity risk factors like home environment, parental roles, excess weight, physical activity and healthy eating among Latino/Hispanic (L/H) families living in rural communities is an important priority. However,...

What happens after the funding ends?: A qualitative sustainability investigation of emergency department-based peer support programs implemented as part of Indiana's opioid state targeted response initiative

Introduction: In 2017, funding disseminated through the US Substance Abuse and Mental Health Services Administration's Opioid State Targeted Response (STR) program accelerated the expansion of peer recovery support services across several states to engage emergency department patients presenting with opioid use disorder. While there is some literature on the initial implementation of these programs, little is known about their sustainability after the STR funding's end. Identifying what happened to these programs is a key component of understanding their ultimate impact and can inform future activities to develop, fund, or sustain similar efforts. Methods: We collected qualitative data from six organizations that participated in Indiana's STR-funded Recovery Coaching and Peer Support Initiative (RCPSI). The semi-structured interview guide was designed to gather data related to eight domains of sustainability (i.e., environmental support, funding stability, partnerships, organizational capacity, program evaluation, program adaptation, program evaluation, communications, and strategic planning). The analysts followed a deductive-inductive analysis approach, using the eight domains as an a priori coding structure and developing higher-level inductive themes. Results: A total of ten individuals (roles included 4 Program Supervisors, 2 Nurse Administrators, a Psychiatric Social Worker, a Mobile Treatment Manager, a Grant Coordinator, and a Vice President of Planning) participated in six interviews. Two programs did not sustain services, primarily because they lacked a sufficient volume of eligible patients to justify services. Factors identified as supporting sustainability in the other four programs included (1) identification of alternate funding sources, (2) evolving internal support for ED-based opioid use disorder treatment, and (3) investment in internal and external relationships. Furthermore, these themes operated across multiple sustainability domains. Conclusions: The findings illustrate a dynamic interplay between program context and multiple theorized sustainability domains that impacted the viability of RCPSI programs after the end of STR funding. Results indicate a need for a better understanding of the factors influencing the sustainability of programs supported by federal funding to mitigate the opioid crisis, and such findings will likely apply to a broader range of grant-supported programs.

Theoretical perspectives on digital literacy programs: A comparative study of initiatives in Africa and the United States

This review paper analyses digital literacy programs in Africa and the United States, highlighting the theoretical underpinnings and practical implementations across diverse socio-economic, cultural, and technological contexts. Examining key theoretical frameworks—Technological Literacy, Media Literacy, and Information Literacy—explores how these theories inform the design, execution, and evaluation of digital literacy initiatives. The analysis reveals both region-specific challenges and universal opportunities for enhancing digital literacy, emphasizing the need for contextually adapted, inclusive, and sustainable programs. Insights into policy implications and practical recommendations for practitioners are discussed alongside future research directions to deepen understanding and improve the effectiveness of digital literacy programs globally. This paper underscores the pivotal role of digital literacy in empowering individuals and fostering societal development in the digital age.

National implementation trial of BeUpstanding™: an online initiative for workers to sit less and move more.

The online BeUpstanding™ program is an eight-week workplace-delivered intervention for desk-based workers to raise awareness of the benefits of sitting less and moving more and build a supportive culture for change. A workplace representative (the "champion") delivers the program, which includes a workshop where teams collectively choose their sit less/move more strategies. A toolkit provides the champion with a step-by-step guide and associated resources to support program uptake, delivery, and evaluation. Here we report on the main findings from the Australian national implementation trial of BeUpstanding. Recruitment (12/06/2019 to 30/09/2021) was supported by five policy and practice partners, with desk-based work teams from across Australia targeted. Effectiveness was measured via a single arm, repeated-measures trial. Data were collected via online surveys, toolkit analytics, and telephone calls with champions. The RE-AIM framework guided evaluation, with adoption/reach (number and characteristics); effectiveness (primary: self-reported workplace sitting time); implementation (completion of core components; costs); and, maintenance intentions reported here. Linear mixed models, correcting for cluster, were used for effectiveness, with reach, adoption, implementation, and maintenance outcomes described. Of the 1640 website users who signed-up to BeUpstanding during the recruitment period, 233 were eligible, 198 (85%) provided preliminary consent, and 118 (50.6%) champions consented and started the trial, with 94% (n = 111 champions) completing. Trial participation was from across Australia and across industries, and reached 2,761 staff, with 2,248 participating in the staff survey(s): 65% female; 64% university educated; 17% from a non-English speaking background. The program effectively changed workplace sitting (-38.5 [95%CI -46.0 to -28.7] minutes/8-hour workday) and all outcomes targeted by BeUpstanding (behaviours and culture), with small-to-moderate statistically-significant effects observed. All participating teams (n = 94) completed at least 5/7 core steps; 72.4% completed all seven. Most champions spent $0 (72%) or >$0-$5 (10%) per team member; most (67/70 96%) intended to continue or repeat the program. BeUpstanding can be adopted and successfully implemented by a range of workplaces, reach a diversity of staff, and be effective at creating a supportive culture for teams of desk-based workers to sit less and move more. Learnings will inform optimisation of the program for longer-term sustainability. ACTRN12617000682347.

A Proactive Telephonic Outreach Program to Address Unmet Social Needs of Children in Immigrant and Refugee Families at a Federally Qualified Health Center.

We developed a telephonic outreach and care coordination program for children in immigrant and refugee families (CIRF) at a federally qualified health center (FQHC) in North Carolina to address unmet health-related social needs (HRSN). Participants were recruited between December 2020 and October 2021. Eligible children were ages 0-5, non-English speaking, and were seen at the FQHC in the 2years prior. A bicultural/bilingual case manager completed telephonic outreach to caregivers of participants with HRSN screening. Bilingual patient navigators made follow-up calls to assess connection to resources and to develop strategies for addressing unmet needs. Three hundred forty-two families received outreach; 212 (62.0%) completed the baseline questionnaire. The majority (N = 160, 75.5%) completed at least one follow-up. The majority (N = 186, 88.1%) were Spanish-speaking, and over two-thirds (N = 149, 70.3%) were uninsured. Most participants had between 3-5 HRSNs identified (N = 121, 57.1%); "employment" (n = 158, 74.5%) and "food" (n = 138, 65.1%) were the most common. Despite repeated assistance, the majority of participants struggled to link to a community resource for their highest priority need (N = 123, 78.3%). Proactive phone-based HRSN screening may be a feasible and effective intervention to facilitate the identification of social needs for CIRF. The delivery of the intervention in languages other than English may have further contributed to program acceptability. Despite program feasibility and acceptability, community-level barriers to the resolution of HRSNs persist. While similar care coordination models can be considered to identify the high burden of unmet HRSN among CIRF, addressing the limited capacity of community-based resources for this population will be a critical component to ensuring the sustainability of such programs.

Developing a community-based, multicultural-friendly prenatal education pilot program

Purpose: The purpose of this study was to examine the acceptability, availability and sustainability of a pilot prenatal program developed by an interdisciplinary team. Methods: Out of 19 multicultural women participated in the 6-session prenatal program, 6 women took part in an exit- focus group interview as a part of formative evaluation. The verbatim transcriptions of semi-structured interview data were analyzed using conventional content analysis. Results: In general, the participants expressed high satisfaction with program content, educators and education methods. A hybrid model including health professionals and community health workers and using online and offline education modes was suggested as a way to disseminate the program at a national level. Interventions using aesthetic approaches such as music and an integrated method such as the introduction of available social services in pregnancy and during the postpartum period may play a role as the facilitator of the program participation of multicultural women. These approaches may also help them develop healthy coping skills, problem solving skills and empowerment in multicultural childbearing women who need to adjust to life in a new country simultaneously taking a new role as a mother. Conclusion: An interdisciplinary prenatal program using a holistic approach contributes to enhancing multicultural women’s empowerment to become a mother in a new country.

THE ROLE OF CALDERA GEOPARK IN TOURISM DEVELOPMENT OF LAKE TOBA SUPER PRIORITY DESTINATIONS, INDONESIA

This study aimed to analyze the role of the Toba Caldera Geopark as a mediating variable in the development of the Lake Toba area using the SEM-PLS data analysis technique. The research method using SEM-PLS analysis consists of submodels, namely measurement and structural models or external and internal models. The convergent validity of the PLS with reflective indicators is assessed based on the loading factors of the indicators. The results demonstrate that the Toba Caldera Geopark can accelerate the role of tourism variables such as attractions, amenities, and ancillaries in enhancing the development of the Lake Toba area. However, development has not increased the influence of tourism accessibility in the Lake Toba area. The integrated management of Caldera Geopark with tourism development is recommended as an effective approach to expedite the development of Lake Toba area. Tourist destinations were reported to significantly influence the development of the Lake Toba area, and the Caldera Toba Geopark mediated efforts to develop the tourism sector. Factors related to tourist destinations, such as attractions, amenities, and ancillaries, played a significant role in the development of the Lake Toba area. Accessibility did not have a significant influence on the development of the area, either directly or indirectly, through the Geopark. Development was required, including improving attractions, amenities, and ancillaries, using the Caldera Toba Geopark as an approach for management, utilization, and development. Collaboration between the government, private sector, and local and international communities creates sustainable tourism development programmes. Meanwhile, attention to environmental sustainability, local culture, and community participation was important for managing the UNESCO Global Geopark.

Empowerment of Financial Literacy in the Era of Digitalization 5.0 MSME Trade at the Bandung City Chamber of Commerce

Technological developments have brought us to an era where digital financial literacy has become very important, especially for people accustomed to the digital world. In today's digital era, skills in managing finances are no longer enough just to count money conventionally. The micro, small, and medium enterprises sector plays a vital role in the national economy, especially in creating jobs and increasing people's income. Based on this, the Community Service implementation team held training and outreach activities with the theme Empowering Financial Literacy in the Era of Digitalization 5.0 Micro, Small and Medium Enterprise Trade at the Bandung City Chamber of Commerce and Industry. Community Service Activities in the form of presenting material regarding Financial Literacy Empowerment in the Digitalization Era 5.0 will be held on July 31 2024. 15 Bandung City KADIN Micro, Small and Medium Enterprise partners who attended this activity have businesses in the culinary, fashion, service and trade sectors. The activities went well based on the evaluation results, and the training materials were based on work needs. A follow-up to this activity is the need for a sustainability program with the help of lecturers from the Faculty of Economics and Business, Widyatama University and KADIN Bandung City to help partners in the field of Financial Technology so that partners and the community can maximize training and development of financial literacy, especially for MSMEs in the Era-based trade sector. Digital 5.0 is vital because the micro, small, and medium enterprises sector is essential in advancing the country's economy.

Physical and chemical characterization of wild tomato Solanum habrochaites accessions for resistance to the sweetpotato whitefly

Sweetpotato whitefly Bemisia tabaci is a significant worldwide insect pest affecting tomato production, causing direct damage during feeding and transmitting multiple plant viruses to this crop. Continuing research to improve integrated pest management (IPM) of sweetpotato whitefly is required to maintain profitable tomato production for growers. This study evaluated the resistance of eight wild tomato accessions of Solanum habrochaites and four commercial tomato cultivars of Solanum lycopersicum to sweetpotato whitefly infestation. Field experiments were conducted at the Wiregrass Research and Extension Center at Auburn University, where whitefly populations were reported in vegetable crops. Accessions and cultivars were evaluated for resistance to whiteflies through the ability to reduce the insect population, analysis of the presence of glandular trichomes, and the profile and quantification of terpenes of each tomato species. Results indicated significant variations in whitefly population dynamics among the wild tomato accessions and commercial tomato cultivars. Wild tomato accessions of S. habrochaites had higher numbers of glandular trichomes and distinct terpene profiles, particularly sesquiterpenes, known for their pest-repellent properties. Multivariate analysis identified three clusters based on terpene profiles and trichome types correlating with whitefly resistance. Accessions of S. habrochaites PI127826, PI134418, and G29258 had prominent results. They significantly reduced whitefly nymph development compared to cultivars of S. lycopersicum. The GC-MS analysis of leaflet extracts revealed that accessions of S. habrochaites had higher levels of sesquiterpenes, including α-zingiberene, β-caryophyllene, and α-humulene, with PI127826 uniquely producing Ar-curcumene and 9-hydroxy-zingiberene. Results highlight the potential of wild tomato accessions of S. habrochaites in breeding programs to enhance whitefly resistance in tomatoes, which can support a sustainable IPM program.

Estimated Disease Progression Trajectory of White Matter Disruption in Unilateral Temporal Lobe Epilepsy: A Data-Driven Machine Learning Approach.

Although the involvement of progressive brain alterations in epilepsy was recently suggested, individual patients' trajectories of white matter (WM) disruption are not known. We investigated the disease progression patterns of WM damage and its associations with clinical metrics. We examined the cross-sectional diffusion tensor imaging (DTI) data of 155 patients with unilateral temporal lobe epilepsy (TLE) and 270 age/gender-matched healthy controls, and we then calculated the average fractional anisotropy (FA) values within 20 WM tracts of the whole brain. We used the Subtype and Stage Inference (SuStaIn) program to detect the progression trajectory of FA changes and investigated its association with clinical parameters including onset age, disease duration, drug-responsiveness, and the number of anti-seizure medications (ASMs). The SuStaIn algorithm identified a single subtype model in which the initial damage occurs in the ipsilateral uncinate fasciculus (UF), followed by damage in the forceps, superior longitudinal fasciculus (SLF), and anterior thalamic radiation (ATR). This pattern was replicated when analyzing TLE with hippocampal sclerosis (n = 50) and TLE with no lesions (n = 105) separately. Further-progressed stages were associated with longer disease duration (p < 0.001) and a greater number of ASMs (p = 0.001). the disease progression model based on WM tracts may be useful as a novel individual-level biomarker.

PENINGKATAN PRODUKTIVITAS USAHA KERIPIK IKAN KUNIR UD FARAH DENGAN PENERAPAN TEKNOLOGI MESIN VACUUM FRYING SERTA MANAJEMEN KESELAMATAN DAN KESEHATAN KERJA (K3) PADA KARYAWAN

Panarukan District, Situbondo Regency, has marine potential that supports marine fish-based processing industries, including UD FARAH in Paowan Village, a producer of turmeric fish chips. However, UD FARAH's production capacity is still low because it uses traditional equipment such as wood stoves. Technological development is needed to increase production efficiency and quality, which is expected to increase profits and meet growing market demand. The aim of this activity is to improve employee skills in operating Vacuum Frying Machines for the production of turmeric fish chips and strengthen their understanding of occupational safety and health (K3). UD FARAH faces traditional production problems which result in less than optimal product quality and quantity, as well as working conditions that do not meet K3 standards. Solutions include the application of Vacuum Frying Machine technology and K3 training to increase production efficiency and work safety. The program also includes mentoring and evaluation to ensure long-term success. After the service activities, UD FARAH experienced a significant increase in productivity and product quality with the implementation of the Vacuum Frying Machine. Employees' knowledge of technology and K3 also increases, which contributes to work safety and efficiency. In addition, the sustainability program includes marketing strategies and product diversification, such as the development of mango chips, which utilize local resources and open up new market opportunities. It is also hoped that the sustainability of this program will reduce UD FARAH's dependence on one type of product, increase competitiveness and create added value for the local community. This activity succeeded in improving the skills of UD FARAH employees in operating vacuum frying machines and implementing K3, as well as encouraging product diversification and improving marketing strategies to increase productivity and sales.

Providers’ perspectives of barriers and facilitators to scale-up of mental health care in the public health delivery system of Mozambique: a qualitative inquiry

BackgroundA central challenge to closing the mental health treatment gap in low- and middle-income countries (LMICs) is determining the most effective pathway for delivering evidence-based mental health services. We are conducting a cluster-randomized, Type 2 hybrid implementation-effectiveness trial across 20 districts of Mozambique called the Partnerships in Research to Implement and Disseminate Sustainable and Scalable EBPs (PRIDE) program. Following training of nonspecialized providers in facilitation of evidence-based treatments for mental health and informed by the Consolidated Framework for Implementation Research (CFIR), we identified how PRIDE compares to care as usual and the perceived barriers and facilitators of implementation and modifications needed for widescale service delivery and scale-up.MethodsWe conducted rapid ethnographic assessment using freelisting among 34 providers, followed by four focus group discussions (n = 29 participants) with a subsample of psychiatric technicians and primary care providers from 14 districts in Nampula Province. We used Thematic Analysis to inductively apply open codes to transcripts and then deductively applied the CFIR domains and constructs to organize open codes.ResultsThe main Outer Setting constructs relevant to implementation were recognition that patient mental health needs were significant. Additionally, numerous community-level characteristics were identified as barriers, including distance between clinics; shortage of providers; and low awareness of mental health problems, stigma, and discrimination among community members towards those with mental health struggles. The PRIDE program was perceived to offer a relative advantage over usual care because of its use of task-sharing and treating mental illness in the community. PRIDE addressed Inner Setting barriers of having available resources and training and provider low self-efficacy and limited knowledge of mental illness. Providers recommended leadership engagement to give support for supervision of other task-shared professionals delivering mental healthcare.ConclusionsPrimary care providers and psychiatric technicians in Mozambique perceived the relative advantage of the PRIDE program to address mental health treatment access barriers and offered recommendations for successful sustainment and scale up of integrated mental health care.