Notwithstanding the commendable efforts of this programme, access to PHC services is still limited, especially in rural areas, where the expansion of CHPS has been painfully slow.
Special attention was given to the one cross-cutting programme, the Communication, Coordination and Advocacy (CCA) Programme, to address concern over the linkage between broad cross-cutting CB efforts of the CCA programme and more substantive development goals vis-à-vis changes in children's and women's rights -- a concern which had been raised in the MTR.
The team involved in the intensified medical service-focussed programme was a senior physician with a dedicated effort to the programme of 35%, an infectious disease fellow (75%), a pharmacist (12%), and a data manager (6%) corresponding to yearly personnel costs of 102,950 €.
When I retired two years ago, I condemned the futile efforts of the anti‑doping programmes present throughout my 10 years in the sport as being fought by the wrong people, with the wrong tools in the wrong way.
Despite the indications that the efforts of the national safety programmes may have resulted in a decrease of preventable AEs, it is still unclear to what extent the programmes exactly contributed to this improvement.
They said that the use of a highly stigmatised group (sex workers) and highly stigmatised venues (beer halls) as the major focus of peer education efforts distanced the programme from more 'respectable' community members.
This was an effect of the managers' motivation and positive efforts towards the improvement of the programme.
We found very low opt-in rates for people over the age of 70; this was not surprising, as there were minimal efforts to raise awareness of the programme in this age group.
Within the context of the quality improvement collaborative consultants and experts (including medical professionals) offered guidance through on-site visits, telephone and email conversations from the first step [setting (clinical) goals] to the final step (evaluating the effects of efforts to improve care) of the programme.
The differences in outcome between countries could be influenced by the patient mix (age profile, frequency of HIV co-infection (high in southern Africa) and resistance patterns) and treatment outcomes may not always be a direct reflection of the efforts of national programmes to treat their patients.
