Because a major focus in IDSR implementation is to strengthen the district level, the ongoing decentralization process provides a good opportunity for expanding IDSR implementation in all districts.
The rationale for this selective implementation was to strengthen the scheme in the areas that were considered the "easiest" to reach.
The lessons learned (both positive and negative) need to be reviewed and, where necessary, changes made during the final phases of implementation so as to strengthen the overall process and provide direction for future development of SSHE in Zambia.
It also, and unusually, presents a positive experience, focused on how to strengthen implementation by reducing actor conflict, in a field that more commonly examines why implementation fails (Hill and Hupe 2009).
Methods of specifying and reporting complex interventions, 46 as well as their implementation strategies, are necessary to strengthen the evidence base required for interventions to be more effective, implementable and replicable across different settings.
Two typical extensions, such as variable step-size design and hybrid implementation, are further adapted to strengthen the effectiveness of the new structure.
This paper reports on a research collaboration between the WHO's Eastern Mediterranean Office EMROO) and the O'Neill Institute for National and Global Health Law at Georgetown University that aims to identify (1) regionally relevant, cost-effective and affordable legal interventions to prevent NCDs, and (2) methods to strengthen implementation and enforcement.
ART uptake, however, was poor, suggesting that PITC implementation should include measures to strengthen and support ART referral, evaluation, and initiation.
Measures should be taken urgently in these areas to strengthen implementation of the Stop TB strategy.
Measures should be taken urgently in these areas to strengthen implementation of the international Stop TB strategy.
