Scale-up of the evidence based practices for maternal-neonatal health in Sub-Saharan Africa should follow rapid appraisal and adaptation of intervention packages to address the local health system and socio-cultural situation.
Within India the wide religious, cultural, regional and socio-economic variations make adaptation of the package particularly important.
Basic epidemiology provides needs assessment in establishing the population burden of NCDs, and then highly pragmatic translational intervention studies enable validation and adaptation of the package of available interventions which are known to be cost-effective and the public health framework for delivering it.
We thank Dr. Mihnea Bostina for his adaptation of the Signature software package.
Exploring the impact of other packaging elements will allow for the improvement and tightening of upcoming adaptations of standardised packaging legislation.
For quantifiable health effects, such as heat-related mortality, it seems useful to combine system-enhancement with approaches such as 'robust decision-making', which entails exploring the ability of adaptation packages, or the current health system or society, to function under a range of plausible futures.
Besides, even though possibilities for continuous adaptation of the residential care packages exist, in practice most packages are evaluated only once a year, and if the patient is stable, no adaptations are made.
In terms of implementation, often a straightforward adaptation of existing atomistic MD packages is sufficient for the MM-based models.
Modified atmospheric packaging reckons the adaptation of gas surroundings within the package by means of normal interchange involving the respiration rate of bhimkol and gas diffusion through the package material.
An interface of the first type, such as a guideline, facilitates combinations and substitutions of modules to enable adaptation of the modular healthcare package to the patient's needs (e.g. [ 12, 27, 28]).
