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From 1996 to 1998 during the programme implementation, the population consisted only of the incident cohorts aged 50 through 64 years.
Challenges encountered during the programme implementation were also identified, since Lebanon is considered a country with political unrest and no similar research projects were conducted in the area.
Lessons Learned During the period of the Programme, the UNICEF programming process took as a starting point the assessment of the situation of children and women, which was to be updated regularly during the programme implementation period.
The proportion of high risk groups accessing clinics within two days of onset of STI-related symptoms and acceptability of speculum and proctoscope examination increased significantly during the programme implementation period.
The evaluation shall provide information on the strategies applied during the programme implementation, ascertain their relevance, effectiveness and sustainability in achieving target results, identify areas of improvement including remaining challenges and draw lessons learned to inform the next country programme 2016 - 2020.
If COBET is to be used as a strategic intervention to ensure provision of Education For All, there is need for the District Councils to involve and work closely with the local communities from the initial stages so that they are made aware of the importance of COBET and the role they are expected to play during the programme implementation.
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Lastly, a dissemination strategy was developed, consisting of a handbook and a training course for health promotion professionals, to help them recruit teachers to work with the programme, organize a two hour kick-off meeting for the teachers, advise the teachers during programme implementation, evaluate the implementation and contribute to programme continuation in the schools [ 19].
The primary evaluation objectives are to measure the extent to which planned and any unintended results have been attained during the programme's implementation, and how the overall goal and four objectives stated above have been met in the nine countries participating as well as at the regional level.
Of special note in this example is the interweaving of informal theories (some based on the improvement team's prior personal experience, others that emerged during the programme's implementation) and formal published theory identified early in the planning of the intervention.
Hand hygiene compliance rates rose from 48.8% (baseline period) to 77.2% during the period of programme implementation, with results maintaining above 75% in the latter 12 months Jan Dec 2012012 months Jan Dec 2012
However, changes in income versus the budgeted levels during programme implementation require corresponding changes in expenditures in order to conform to the approved budgetary appropriation, adding some uncertainty and complexity to the financial management of the budgetary appropriation by chapter.
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