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The bottleneck analysis results confirm the barriers related to the lack of awareness and commitment among leadership identified by Charpak and colleagues [ 47], which are essential for investment in a health system scale-up and especially for ongoing sustainability.
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This has been changed and the focus shifted to more essay based questions along with clinical assessment through 'Objective Structured Clinical Exams' (OSCEs) [ 19]. 5. Accreditation – The process of getting accreditation for courses takes longer than was anticipated, yet is important for the ongoing sustainability of the Beacon Centres.
The Government of the Slovak Republic adopted a responsible approach not only to fulfilling the compulsory criteria, but also to ensuring a smooth transition for the final changeover to the euro on 1 January 2009, including the ongoing sustainability of those criteria.
The changes, it said, "will ultimately support the ongoing sustainability of The Village Voice".
This raises concerns about the ongoing sustainability of these land resources, as well as the sustainability of traditional pastoral land practices.
It is anticipated that this process would contribute to ongoing sustainability through building capacity within the facility.
However, this was a single intervention with no provision for ongoing training and long-term sustainability.
Senior physiotherapists from within the participating physiotherapy service, identified as opinion leaders, will then take responsibility for ongoing mentoring between 6 and 12 months, in order to facilitate sustainability of the subgrouping for targeted treatment system in the longer term.
"This is important for the sustainability of the initiative because there will be a need for ongoing activities for the next several years".
The conceptualization of sustainability will need to go beyond coverage and encompass the need for ongoing work to support the other facets of scale, including depth of programmatic capacity and community engagement [ 27].
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