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The programme created a pool of trained technicians who can compensate for transfer and separation of staff and contribute to expansion of programme staff.
While these cost data indicate that there is likely economies of scale, or that there is a U-shaped long-run average cost curve, in the delivery of STI treatment to commercial sex workers (CSWs), these data alone do not provide information on the cost for the expansion of programme services to areas where they were previously unavailable [ 6, 10].
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On top of this, there has been £25m invested in higher apprenticeships, to support the expansion of programmes up to degree equivalent.
Some of our goals at the SickKids Centre for Global Child Health in the coming year will be to better understand the governance systems and financial resources that enabled the successful expansion of programmes in countries like Bolivia and Kyrgyzstan.
It needs around $6bn per year in the next three years to cover expansion of programmes for the three diseases, but it has only around $3bn per year from donor countries.
Now, at the close of the 120 Day Plan, it is safe to say that the expansion of programmes has been remarkable.
The rapid expansion of programmes in such contexts can easily lead to only short-term impacts and further weakening of public health infrastructure [ 6].
Such financial constraint was responsible for restricting the maintenance and expansion of programmes and for obstructing the establishment and implementation of a national HRH policy.
The costs of acquiring and maintaining screening equipment at community levels could be a major concern for the rapid expansion of programmes.
An understanding of these trends will help guide the health promotion messaging for the targeted population, and further support expansion of programmes for screening and brief intervention, and more intensive programmatic interventions.
In recent years, the expansion of programmes to prevent mother-to-child transmission and antiretroviral treatment has changed historical patterns of mortality and the fertility-inhibiting effects of HIV infection [ 17, 18].
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