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Participation in MOPBASSS was not associated with an excessive time burden, and the program complemented existing systems.
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Participants who received at least five of the seven sessions, rated their program engagement and satisfaction as high, and the burden of the program as low.
Indeed, Lower-Basch (2011) reports anecdotal evidence that, because program operators under the TANF Emergency Fund programs were working under a very tight time frame and wanted to make maximum use of the funds, they did not prioritize keeping windfalls low but rather focused on minimizing the burden of the program on employers and bringing the program to scale.
"I wanted to allow the people who knew him and studied him to carry the burden of the program," Mr. Lamothe said.
But this confuses who writes the check (employers) with who bears the burden of the program (employees).
The problem is that Congress has placed the burden for the program's enormous debt on policyholders.
Provision of the supporting evidence and rationale should help to facilitate successful implementation of the JE surveillance standards in JE-endemic countries which will in turn enable better understanding of disease burden and the impact of control programs.
At the same time, the IOM points out 2 major challenges for PEPFAR: (1) to better address prevention through behavior change, and (2) to shift the burden and responsibility of programming more to the affected countries.
How can the burdens of the program be fairly balanced?
And states have been allowed to crosscheck applications with asset tests for other safety-net programs, cutting the administrative burden and the potential for errors.
Under such so-called "work share" programs, employers spread the burden, and the government then makes up some, or all, of the workers' lost wages.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com