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In terms of the Palestinians, the greatest obstacles to implementation in areas under PA control have been the resistance from some within the old Fatah establishment and the security challenges of Hamas.
Several studies of IPT in infants (IPTi) with sulphadoxine-pyrimethamine (SP) given at the age of 2, 3 and 9 months alongside the extended program on immunization have shown a reduction in the incidence of clinical malaria and anaemia by about 30% [3] and IPTi is now recommended for implementation in areas with high burden of malaria and low SP resistance [4].
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The programme has achieved considerable success in rural areas whilst the implementation in urban areas has been challenging.
As to avoid fragmentation and to promote a common understanding and implementation in different areas of the integrated area-based approach, the contents of SIABP should be more clearly defined.
By applying highly adaptable technologies, which are incorporated in a decentralized approach, the implementation also in areas with poor infrastructure is enabled.
This study by the Public Health Foundation of India (PHFI) evaluated the performance of MCTS and identified implementation challenges in areas in Rajasthan and Uttar Pradesh (UP) in December 2012.
This gap is problematic given that implementation choices in areas such as CHW selection, training, and supervision are often the difference between success and failure.
There seems to have been a lag between the time of release and implementation in many areas of the country.
One year after full implementation, in intervention areas, four recommended newborn care practices were more common than in comparison areas: delaying the baby's first bath by at least six hours, exclusive breastfeeding in the three days after birth, putting nothing on the cord, and, for home births, tying the cord with a clean thread.
And its value extends beyond the MDGs; it can be useful for monitoring implementation in many areas like state budgets and planning, both at macro and business levels.
Sizing and design strategies for their viable implementation in Mediterranean areas are extrapolated from the analyses.
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