The cost should also include all administrative, maintenance, and monitoring costs (World Bank Group 2008).
The reasons for this clearly need to be ascertained, but anecdotal accounts suggested a lack of administrative support and monitoring may be partly responsible.
The former include general rules and procedures, task distribution for clinical and administrative staff and monitoring of task performance; the latter include induction courses, peer pressure mechanisms and training/personal development opportunities.
In light of the increasing focus on health system strengthening and integration, our research makes a contribution by providing a method and scales for measuring and monitoring administrative integration.
A consultation undertaken with EPI officials and district health managers in Burkina Faso revealed substantial underutilization of existing administrative data for planning and monitoring immunization activities, ascribable to shared apprehensions about their quality.
The weak process could only be corrected through invigoration of the operations of donor, administrative representatives, monitoring and evaluation teams.
For effective resource planning and monitoring purposes, the administrative records should be improved.
Special thanks to Autoroutes du Sud de la France for allowing us to use their motorway for our research and to Cédric Valtat, Muriel Bacarisse and Victor Bibène for selecting participants, collecting and monitoring data and for administrative, technical, and logistic support.
The potential effects of conditionality, such as financial and administrative costs for monitoring compliance with the conditions, or that their use may unfairly penalise families who cannot comply with the conditions for reasons beyond their control (WHO. 2012; UNICEF 2016).
Hence, successfully integrating the introduction of iron-folic acid tablets and the administrative monitoring process was a matter of making small modifications to the existing system.
