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These, together with our external support, permitted the type of light touch management needed to adapt plans and indicators as the programmes matured.
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This was before the HTA Programme had the current processes and procedures in place which have developed as the programme matured.
We regularly re-visited the monitoring indicators because, although helpful up to that phase, indicators had to become more sophisticated as the programme matured, reflecting the increasing complexity of the programme [ 15].
Progress indicators become more sophisticated as the programme matures and capacity is strengthened.
This is a good sign as the project has only been under implementation for about 2 and half years and more lessons may be documented as the programme matures.
The five steps are: i) defining the goal of the capacity strengthening effort, ii) describing the optimal capacity needed to achieve the goal, iii) determining the existing capacity gaps compared to the optimum, iv) devising an action plan to fill the gaps and associated indicators of change, and v) adapting the plan and indicators as the programme matures.
Continued monitoring of population-level sexual behaviour indicators in the coming years as programmes mature will be essential to interpret the success of combination-prevention programs and will provide evidence of any long-term impact of ART on the sexual risk behaviour of general populations as well as HIV-infected individuals.
As ART programmes mature and lessons emerge over time, concern is growing around the challenges of sustaining long-term adherence [23].
This is consistent across all three sub-Saharan regions of Western, Eastern and Southern Africa, and this pattern will be expected to continue and be exacerbated as ART programmes mature and HIV positive patients survive to older ages.
We expect this, as the program matures in the US.
In a sophisticated analysis of projects from four African countries, Bates et al. [ 25] show how the most useful indicators of research capacity can evolve as programmes mature.
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