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The main objectives for the capacity assessment process were the following.
In other words, a significant unintended positive consequence of the capacity assessment process was that it produced outcomes associated with capacity strengthening interventions.
Our approach was to develop a capacity assessment process that could provide a systematic method for each of the SPHs to reflect on institutional strengths and weaknesses with respect to HSR.
Two members of the study team together reviewed the notes using a grounded theory approach [ 31] to generate a list of recurring themes related to 'factors' – both positive and negative – that affected the capacity assessment process.
The findings section presents (i) the actual capacity assessment process and how it varied across countries, (ii) the key outcomes of the assessment, and (iii) the factors that affected the assessment process.
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This briefing note provides guidance on how to identify country strengths and needs for National Adaptation Plans (NAPs) through a participatory institutional capacity needs assessment process.
Without their diligence and willingness to be interviewed, it would not have been possible to capture the nuances of the capacity self-assessment process between the various contexts.
This institutional HSR capacity assessment tool and the process for its utilization may be valuable for any SPH.
To assess the conduct of consent processes, two researchers independently scored the quality of the capacity assessment, use of proxies and processes for obtaining assent using the criteria shown in table 1, resolving discrepancies by discussion.
Part of the advance care planning process includes capacity assessment using the standardised mini mental state examination (SMMSE).
The intent was to roll out a self-led process for capacity assessment in order to devise HSR capacity development strategies for the SPHs and identify where capacity development investments would have the greatest impact.
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