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Not only should the services be available at a decentralized level and in the same place, but there should also be effective patient support and health education at a grassroots level to maximize adherence and ensure a healthy birth.
Sometimes a decentralized level was set up for these mechanisms, like the focal points for user fees exemptions in Niger and Mali.
The fact that this program was based at a decentralized level might have contributed to earlier diagnosis and good adherence in the program in a number of ways.
In addition to routine health care, the health centers provided comprehensive HIV care and started offering ARVs at a decentralized level, beginning in October 2003 in Kimironko and followed in January 2004 in Kinyinya.
In concordance with others [ 5, 12], tolerance of ART seemed to be as good or better in children than in adults, arguing against the need for specialist care for pediatric ART and in favor of providing ART treatment to children at a decentralized level.
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With new responsibilities having been transferred to the decentralized level, a more appropriate personnel structure might require the creation of new types of jobs, re-profiling of old ones or the addition or abolishing of staff positions in accordance with need.
This paper stresses the central role that a targeted decision-support tool can play in facilitating the use of information in health decision making at the decentralized level of a health system.
As of November 2010, it is available in the 800 rural municipalities and is being used as a key tool for planning at the decentralized level.
In South Africa, integrating the management of health services at a decentralized district level within the authority of general health service (GHS) managers is a reform priority.
In addition, the documemt clearly articulates social vulnerabilities and the need to hire and deploy 6000 social work case managers to facilitate an integrated approach to social services at decentralized level.
The available information at decentralized level should form the basis of a food insecurity and vulnerability information system that identifies, locates, measures, characterizes and monitors the vulnerable and food insecure population.
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CEO of Professional Science Editing for Scientists @ prosciediting.com