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Improvement of health worker performance was triggered by three mechanisms: improved knowledge and skills, critical awareness on functioning of health services and being empowered to implement change.
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The problem with cognitive models of behavioural change is that they ignore the context in which decisions are made and assume that when an individual is convinced of the benefits of behavioural change he or she is also empowered to implement this change [ 39, 40].
Prevention messages in mass media and individual counselling often start from the premise that everyone is empowered to implement their prevention choice.
Firstly, we must change the perception of these conditions as inevitable and 'normal' thus empowering both patients and clinicians to implement change; facilitating effective, patient-centred dialogue within the primary care consultation.
These "bottom-up" efforts, as opposed to government-driven efforts that are perceived as "top-down", promote local ownership of the information (Cronin et al. [2004b]), empower at-risk individuals to implement change in their communities (Cronin et al. [2004a]), and can result in risk-reduction efforts becoming an accepted part of community thinking and daily life.
"It takes a long time to implement change in education.
There were hundreds of people from all walks of life eager to learn, become empowered, and implement change in their communities.
These select few are empowered to change the world.
By engaging local health workers and empowering them to implement simple systems changes in their clinics, this study has shown that it is possible to improve patient attendance and adherence to ART without any increase in external resources.
None of them, including Mr. Garamendi, is empowered to make big changes on their own.
Empower your teams to identify and implement changes.
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CEO of Professional Science Editing for Scientists @ prosciediting.com