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While the NSHAP data remain largely cross-sectional at present, the inclusion criteria guarantee at least 57 years elapsed between birth and data collection for a given subject.
Data collection for a given patient ceased if their admission was subsequently confirmed to be unrelated to MRH, however data from previous data sources recorded prior to a non-MRH diagnosis being established were included in the analysis.
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The statistical techniques that will be used (described below) can deal with missing data, as long as there are at least three data collection points for a given outcome measure, so that the frequency of the interviews maximises the number of people whose data can be analysed.
Data collection for this study was limited given that only a few key actors from the first reform period are still alive, and that historic processes in general are scarcely documented in Costa Rica.
The use of focus groups for data collection may have given an overly positive view of the transition in gender norms if participants avoided expression of deviant views that justify violence.
Little is known regarding the nature of primary care in post-conflict communities for several reasons, including: data collection is often given a lower priority than the immediate medical care needs in emergencies; and dynamic changes in a patient population and their needs make it difficult to collect data over the long term.
The HF protocol was implemented on 1 August 2006 and consisted of a written protocol, on-time data collection for quality indicators, and periodic performance feedback (reports) given to the clinical and administrative staff.
In addition, data collection for this study took place in 2010 and given that the RCOpth guidelines were published in 2009, this may not have allowed enough time for the guidelines to be translated into practice.
Moreover, they were clearly briefed about the purpose of the study and an intensive training on the data collection methods was given for two days.
Table 3 gives an overview of the moments of data collection for the four sites.
All staff were provided with a data collection protocol and given training in the Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer) to maximise standardisation of data collection procedures across the schools and data collection sweeps.
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