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In Kwale, meanwhile, implementation was managed by the user organisation through the much less flexible decision making processes of the government bureaucracy.
The system implementation was managed by the "Information System implementation team" and was overseen by a "Program Board", namely a group that initially met once a month and still meets on a monthly basis to oversee the implementation, formulate advice, verify if any help is needed and provide it in this case.
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This is consistent with Nicol (2007), who concludes if MCQs are designed creatively and the context of their implementation is managed accordingly, they can be used to achieve the Seven Principles of Good Feedback Practice (Nicol & Macfarlane-Dick, 2006) including clarifying good performance, self-assessment and reflection, and dialogue.
In South Africa, the PHC outreach team strategy is a national policy whose implementation is managed in the nine provinces of the country.
At the same time, it is motivating that the implementation is managed by leaders who are recognized by the medical staff, for instance by head nurses and physicians or by former physicians and nurses [ 25, 33].
The overall implementation process was managed by the voucher management agency (VMA)—a consortium of PricewaterhouseCoopers (PwC) and Population Council selected through a competitive selection process in October 2005.
The design and implementation needs to be managed as a program of wide-ranging organizational change initiatives rather than looked upon as simply a software installation project.
Another scaling up challenge is the need for the related policy development and implementation processes to be managed strategically to support service expansion.
Data from the 12 month implementation fidelity interviews will be managed using a qualitative data management package e.g. QSR NVIVO and analysed using Framework Analysis [ 32].
Since the depletion of sources has to be managed, implementation of composites reinforced with seashell fillers will find its significance.
Overall, their positive experiences demonstrated that if the challenges were managed strategically, implementation of such a service model would be possible.
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