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Individual and contextual factors affect the implementation fidelity of youth-friendly services, northwest Ethiopia: A multilevel analysis

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  • Yohannes Ayanaw Habitu
  • Gashaw Andargie Biks
  • Abebaw Gebeyehu Worku
  • Kassahun Alemu Gelaye

Abstract

Background: The evaluation of all potential determinants of implementation fidelity of Youth-Friendly Services (YFS) is crucial for Ethiopia. Previous studies overlooked investigating the determinants at different levels. Therefore, this study aimed to assess the determinants of implementation fidelity of YFS considering individual and contextual levels. Methods: This study was conducted among 1,029 youths, from 11 health centers that are implementing the YFS in Central Gondar Zone. Data were collected by face to face interview and facility observation using a semi-structured questionnaire. A Bivariable multi-level mixed effect modelling was employed to assess the main determinants. Four separate models were fitted to reach the full model. The fitness of the model was assessed using Akaike Information Criterion (AIC) and level of significance was declared at p-values

Suggested Citation

  • Yohannes Ayanaw Habitu & Gashaw Andargie Biks & Abebaw Gebeyehu Worku & Kassahun Alemu Gelaye, 2022. "Individual and contextual factors affect the implementation fidelity of youth-friendly services, northwest Ethiopia: A multilevel analysis," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-19, February.
    • Handle: RePEc:plo:pone00:0263733
    DOI: 10.1371/journal.pone.0263733
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    1. Meghan M. Casey & Warren R. Payne & Rochelle M. Eime, 2012. "Organisational readiness and capacity building strategies of sporting organisations to promote health," Sport Management Review, Taylor & Francis Journals, vol. 15(1), pages 109-124, January.
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