Exact(5)
Since 1990, the implementation of Supplementary Immunization Activities (SIAs), resulted in the eradication of indigenous WPV.
Nurses and midwives reported that they played a leading role in the implementation of supplementary immunization activities at the district level.
This remarkable progress was related to an increase of measles vaccine coverage [ 1] and the implementation of supplementary immunization activities (SIAs).
The data reported here highlight the need to seek additional means to reinforce routine immunization as well as ensure the timely implementation of Supplementary Immunization Activities to prevent large and repeated measles epidemics in DRC.
Over the past few years we have seen both the implementation of supplementary prescribing for nurses [ 2] and the gradual expansion of the independent formulary for nurses [ 3, 4] such that nurse prescribers are, in effect, able to prescribe the same drugs as doctors.
Similar(55)
Additionally, a consultation conducted by NICE, prior to the implementation of the supplementary guidance, found some support for the guidance [ 23].
In a review of decisions following implementation of the supplementary guidance, Longson and Littlejohns [ 20] found that the NICE Appraisal Committee had recommended treatments at a cost per QALY which implied a QALY weight of 1.7 for life-extending, end of life treatments.
In summary, this study shows that nurses and midwives play an important role in implementation of routine and supplementary immunization activities at the district level.
This was defined by consensus of all clinical partners and according to a predefined and objective set of implementation rules (Supplementary Table 2).
In this evaluation we sought to calculate incremental costs, that is, the additional costs that would be incurred by NHS trusts on implementation of mental health nurse supplementary prescribing.
Availability: A Java implementation of the prediction methods and supplementary material are available at http://www.bio.ifi.lmu.de/Complexes/Substructures/.
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