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One potential model for such an approach is the Expanded Program of Immunization's Reaching Every District strategy.
The 'Reach Every District Strategy' promoted by WHO could be an effective means to reach that objective (Vandelaer et al. 2008).
Findings The national programme has evolved from earlier central and provincial level planning to strengthening routine immunization coverage through the District level 'Reaching Every District Strategy'.
Assesment of the reaching every district strategy in Mongolia (pdf) Publication year: 2010 This report reflects a rapid assessment of the Reaching Every District (RED) strategy in Mongolia to capture the impact on health service access in the 13 subdistricts.
Since 2003, routine vaccination has been strengthened by extending primary health care grants to all districts, and the implementation of the "Reaching Every District" strategy (12 ), among other interventions.
Child Health Campaigns may be therefore required for equitable access to basic child health services, and can also be implemented in conjunction with WHO's 'Reaching Every District' strategy which focuses on building national capacity from district level upward to maximize universal vaccine access (40).
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This sort of district-by-district strategy would require leadership and support from the Afghan government, however, and there has been little evidence that Karzai is willing to provide it.
Background: UNICEF has been supporting the Government Planning, Budgeting, Monitoring and Reporting (PBMR) processes as part of the 7 Learning Districts Strategy (LDs).
The comparison of the three strategies indicates that the new district heating strategy which introduces surplus heat from industry and generation plants is more economically and technically optimal than the individual heat strategy and the current heat strategy.
But in his own district, the strategy does not appear to be working.
The district's strategy targets changing instruction, hiring, school culture and instilling the belief that all kids can learn.
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