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A meta-analysis of the studies suggests that impact of decentralization on public service delivery is contingent on factors such as the design of the decentralization policy; implementation bottlenecks and diluting the model of decentralization for accommodating the dissenting segments of stakeholders including employees; and participatory governance.
A brief description of implementation bottlenecks and corrective mHealth strategies is shown in Table 1. Figure 1 shows selected screen shots of the ImTeCHO application.
Financing for these treatments has come largely through grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria – but frequently implementation bottlenecks at country level are preventing the scale up of ACTs.
Gaps in the usual care to be provided or facilitated by ASHAs along with underlying implementation bottlenecks responsible for the gaps were identified through a literature search and SEWA Rural's three decades of experience in implementing several community-based interventions.
This article describes the process of development and formative evaluation of a complex intervention (called ImTeCHO) based on mobile phone technology (mHealth) for improving the performance of ASHAs and overcoming implementation bottlenecks to improve coverage of selected proven MNCH services.
This article describes the process of development and evaluation of ImTeCHO, a complex intervention aimed at overcoming key implementation bottlenecks in the ASHA program through the use of mobile phone technology.
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Our findings indicate that the Matiari district has sound implementation potential; however, bottlenecks at health care facility and at health care management level have badly constrained the implementation process.
This study evaluated the effectiveness of transition programme implementation in reducing bottlenecks in transitional care (perceived by professionals) and improving the quality of (and chronically ill adolescents' experiences with) care delivery within a 1-year period.
·Modular multi-version →Remove stove-piping →Flexible implementation options →Remove bottleneck at the border ·Multi-lingual ·Increase knowledge sharing/creation for ISD ·Neutral design ·Lowered adoption barrier →Use open standards ·Interested other EU states →Independent of national DMO structure.
Challenges Bottlenecks in implementation have included the timely delivery of supplies, especially insecticide-treated bednets.
Our recent report of initial retrospective experience with STATseq in this application is informative for understanding the practical bottlenecks in implementation of genomic medicine in this population [ 42].
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