Parents and the community were to get information from HEN and their children got information from the schools – so there would be multiple channels alongside the district level work, and specific synergy at the household level.
The HIV and TB programme managers at district level work closely with HIV/TB/STI (HAST) coordinators at sub district level who have a supportive supervisory role at facility level.
In addition, the national working group should develop clear guidelines for the district level working groups (and lower) on how to work with PHAST.
Where school districts have the desire, the budget and the personnel to adequately authorize charters, district-level oversight can work.
The district-level resource planning work is serving to feed into the cost analysis of the National Health Plan (Plan National du Developpement Sanitaire ) by providing input into the more strategic OneHealth [ 12 ] costing exercise currently on-going in 2013.
SAFPAC has transferred stock to the government system at the highest level practical, for example, supplying a district-level warehouse and then working within the government distribution system.
A Western expert on government reform whom I spoke to in Kabul used a different metaphor: unless the Karzai administration committed itself to effective governance and at least some measure of federalism, the work of district-level development would be like "growing a beautiful fruit on a diseased vine".
Further delineation of roles, mandatory provision for supervisory visits, the allocation of resources for field trips, and monthly reviews at the district and sub-district levels are key district-level interventions for SS to work.
In general, it appears that UNICEF has attempted to be responsive to local priorities in working with district-level officials to implement ECD projects at that level.
In each district, the central task force teams worked with district-level teams (for example, district health officers, human resource officers, biostatisticians and health information assistants) to assemble the required data.
This enables front-line service providers to understand how their work contributes to district-level targets and objectives.
