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They work there so they know how they can actually implement these programmes.
In general, governments usually find it difficult and expensive to implement these programmes.
Numerous reports and papers have, on the one hand, highlighted effective maternal health interventions while, on the other, noted failures to implement these programmes in many settings [ 17- 20].
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Senior managerial commitment is crucial to ensure successful implementation of M&Ms, given the challenging logistics of implementing these programmes in resource-limited health facilities.
Indeed, since May 2014, when the Youth Guarantee initiative was implemented, these programmes have been converted in concrete job opportunities in only a few cases.
UNICEF partners Don Bosco Homes and Buchanan Child Community-Based Care are implementing these programmes in the country.
While studies have shown the effectiveness of some CHW programmes, implementing these programmes at scale and in resource-constrained settings has proved difficult [ 3].
There is minimal information on the costs of developing and implementing these programmes and this is important as many programmes have not proven to be effective.
This is a key barrier to implementing these programmes more widely and was cited as a reason why schools may be reluctant to deliver these interventions.
This is an ongoing challenge for many CHW programmes, and is best addressed on a case-by-case basis by the policy-makers and programme managers both from the government and NGOs implementing these programmes on the ground.
To date, efforts to implement these antibiotic stewardship programmes (ASPs)—which are defined as coordinated efforts to optimize patient outcomes and reduce the emergence and spread of antibiotic resistance through promotion of appropriate antibiotic use have focused on the hospital setting.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com