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This method relies on decentralization of services by using mobile X-ray or ultrasound equipment handled by trained professionals belonging to the central imaging facility.
The mounting evidence in favor of smaller clinics suggests that it is time for further decentralization of services.
Decentralization of services was also implicated in expansion of access to antiretroviral treatment (ART) at the national level.
The IMAI approach will assist in accelerating the decentralization of services and improving healthcare quality, both of which are urgently needed.
The decentralization of services, which is on the agenda of many governments, entails transfer of decision-making posts to intermediate and local levels.
Reducing delays in diagnosis, decentralization of services, fully integrated TB/HIV care and expansion of health insurance coverage would alleviate patients' economic constraints due to TB.
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The proposed work responds to decision maker priorities – Indian policy makers, specifically in West Bengal are actively exploring decentralization of service delivery to increase responsiveness and accountability to poor and vulnerable groups.
Services availability and linking approach: Figure 2 illustrates geographical distribution and decentralization of ANC services, TB services, and HIV testing and counselling including VCT and PITC for pregnant women and TB cases, as well as their linkages across sub-district and district level.
Decentralization of treatment services and HIV service integration were seen to be of greatest benefit in tackling TB-related direct costs.
Decentralization (delivery of services outside specialist centres) and task shifting (delegation of routine services to lower level relevant cadre) are key components of equitable public sector roll-out to ensure access to ART beyond ART facilities in tertiary centres and those operating in well-supported research programs [ 5– 13].
Decentralization of government services has increased the complexity of health services with a multitude of new stakeholders, financing options, and decision-makers.
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