This scale was used to compare different implementation strategies, including provision of a standard implementation package with and without visits from a facilitator, [ 113] and on-site versus off-site facilitation [ 114].
While addressing the gathering at the event, Mrs. Museveni highlighted the need to adopt a comprehensive implementation package starting with ABC, especially with regards to teenage pregnancies; family planning; EMTCT and ART, if the disease is to be wiped out completely.
Failure to conceive, and adequately fund, conservation planning as a complete planning – implementation package is a major reason why plans have failed to find traction in many parts of the world.
The results of the study confirmed Grimshaw et al.'s observation [ 1] – facilitation using an on-site, face-to-face strategy, combined with a carefully designed implementation package, was found to be significantly more effective than using the package on its own [ 9].
An important lesson is that the development of a remote care service cannot occur in a contextual vacuum treated as a pre-wrapped generic implementation package to be adapted later.
Additionally, at all 12 clinics, the appointment of a single outpatient manager (or 'in-charge') and a deputy manager was part of the implementation package.
The implementation package contained all the information needed to implement KMC, as well as a workbook that, if followed, took the health workers through the implementation process step by step.
The content of the workshop and facilitation sessions was built around an evidence-based workbook [ 10], which is part of the implementation package.
A decision is made as to which part of the implementation package is needed in each hospital, and implementation can then start.
