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Leaders from both government and the health sector also mentioned that district and commune staff were able to arrange to have enough staff for the vaccination sessions.
The transfer of tablets to each district occurred during the approximately monthly visits by the districts' Centres of Preventive Medicine personnel to the CMPE for supplies and administrative requirements, to the commune during the monthly meeting attended by commune health station staff held at the Centre of Preventive Medicine in all districts, and by commune staff to VHWs.
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Therefore, 10 in-depth interviews were conducted in Ha Nam, consisting of two targeted village health workers, three targeted commune health staff, three targeted district health staff, and two targeted provincial preventive medicine staff.
Promotional materials were developed in conjunction with commune health staff and VHW and included posters for health staff (4 copies for every village and commune) and a pictorial handout with timetable for all WRA.
Furthermore, the Government should organize simulation exercises to include central, Provincial, District and commune level staff in order to increase preparedness, improve risk communication at provincial and market levels, and clarify roles and responsibilities of stakeholders in case there is a need for market closures, cleaning and disinfection.
The authors acknowledge the support of Yen Bai People's Committee, district and commune health staff, and village health workers.
A recruitment team consisting of NIOEH researchers and provincial and commune health staff visited family homes to invite participation.
In the communes that used school-based delivery, the list was first taken from schools and reviewed by commune health staff.
Study trained commune health staff recruited participants from selected households, and made appointments for participants to visit the local commune health center.
The project was implemented in stages as shown in Figure 1 after further meetings with the provincial People's Committee and health services and district and commune health staff to discuss the purpose and methodology of the intervention.
While HIV testing had previously been offered only at provincial and district facilities, the pilot showed that commune health staff, with adequate training and supervision, can accurately confirm HIV testing results using the algorithm based on three rapid tests.
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