Supporting the Use of Research Evidence (SURE) framework
| Domains | Factors affecting implementation |
| Recipients of care | Knowledge and skills. Attitudes regarding programme acceptability, appropriateness and credibility. Motivation to change or adopt new behaviour. |
| Providers of care | Knowledge and skills. Attitudes regarding programme acceptability, appropriateness and credibility. Motivation to change or adopt new behaviour. |
| Other stakeholders | Knowledge and skills. Attitudes regarding programme acceptability, appropriateness and credibility. Motivation to change or adopt new behaviour. |
| Health system constraints | Accessibility of care; financial; human resources; educational system; clinical supervision; internal communication; external communication; allocation of authority; accountability; management and or leadership; information systems; facilities. Patient flow processes; procurement and distribution systems; incentives; bureaucracy; relationship with norms and standards. |
| Social and political constraints | Ideology; short-term thinking; contracts; legislation or regulations; donor policies; influential people; corruption. |
*Source: (The SURE Collaboration: https://www.who.int/evidence/sure/guides/en/).