The discussion focuses on practical lessons learned during the planning and implementation of the interventions.
In a first phase, the variety in methods that are used for sampling, implementation of the interventions, measures and data analysis were mapped in a systematic literature review using Cochrane guidelines.
Moreover, to guarantee sustainability, key stakeholders of Ghana's healthcare system such as the Ministry of Health (MoH), Ghana Health Service (GHS), NHIA and the district assemblies were actively involved through series of stakeholder workshops preceding the design and implementation of the interventions.
The proposed improvements relate to implementation of the interventions in both the experimental and control group, determining which elements are preferably omitted during the intervention (such as guidance by the instructor, extra elements that consist of substantive information) and which elements would be aloud (e.g., procedural help, training session).
However, we observed a general downward trend over time after the implementation of the interventions which were fully operational by the 3rd quarter of 2005 (Figure 1).
She was not involved in the implementation of the interventions.
No costs were reported for the implementation of the interventions.
Tools and guidelines will facilitate implementation of the interventions related to each of the six components.
