In this way, empowerment evaluation is designed to improve programme implementation and strengthen systems by building local capacity for planning more systematically, implementing with quality, self-evaluating and using the information for continuous quality improvement.
The same barriers exist for the implementation and strengthening of healthcare services in many low-income countries, even in non-emergency settings.
In innovation theory terms, the core teams were intended to be the programme champions, facilitating implementation and strengthening linkages between the resource team and the user organisation [ 15].
The voices of health workers in this study revealed that health workers are and should be treated as key stakeholders in the design, implementation and strengthening of the PMTCT programme in Uganda.
Four primary advantages of using CASPER methodology included a user-friendly CDC toolkit, yield of a representative community sample with a relatively low sample size, low-cost/low-tech requirements for implementation, and the strengthening of an academic-practice-community partnership.
31 Careful standardisation in training is therefore critical, along with periodic retraining and effective implementation and infrastructural strengthening for long term skill retention.
Acknowledging the whole range of urban ecosystem services, defining strategic objectives related to their provision, and explicitly identifying demand and beneficiaries could increase awareness of the values at stake, ensure long-term commitment in the implementation phase, and strengthen planning arguments against conflicting interests.
Questions included perceptions of the significance of eHealth in nursing, the possible impact on healthcare system, changes in the role of nurses, facilitators and barriers for successful implementation, and recommendations for strengthening the role of nurses using eHealth.
As this initiative continues, KTPMalawi will need to utilize implementation research methodologies and strengthen its use of previously developed knowledge translation platform monitoring and evaluation methods to capture outcomes and impacts on the policy and research environments, in a continuous effort to review, adjust and improve health policies in Malawi [ 17, 21].
We therefore use the health systems building block as the basis to collect and report data in a way that can be applied to analyse specific challenges and identify practical solutions to improve the implementation of services and strengthen health systems.
