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Although our work has clearly shown that many users, managers, service providers, and implementers have been sorely bruised by the first steps in the journey to implement a truly comprehensive national electronic health record system, history might particularly if the right calls are now made at this important juncture be more forgiving.
The global health actors, including researchers, policy makers and program implementers have been searching for new knowledge and technologies for child survival for many years.
Workshops for key policy workers and implementers have been arranged in the process of designing of the law and more will be carried out in the implementation process.
However, while a number of frameworks for program directors, policy makers, and implementers have been developed to help navigate this path from innovation to scale up [ 7- 11], we were not able to identify a similar wealth of work on how to sustain delivery at scale.
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The feasibility and acceptability of NSC and NA from the perspective of site implementers has been evaluated [ 35] and found to be largely positive.
Within a programme that was heavily conceptually driven and whose implementers had been extensively involved in discussions about the nature of the intervention, it was noteworthy how much the sakhis focused on local exigencies over programme aims.
To date, however, the focus of the international community, funders and implementers, has been almost exclusively on children orphaned by AIDS, with many programmes attempting to provide services and support directly to children (Desmond, 2008a, 2008b; Wakhyewa, Dirks, & Yeboah, 2008).
In addition we obtained new qualitative data, from a group who have been relatively understudied, namely implementers, or people charged with an e-health implementation.
Youth centers, peer education, and high-profile meetings on ASRH have been shown to be ineffective yet remain popular approaches among implementers.
The low success rates have been attributed to disregard for various users' considerations by the past implementers of such designs and programs.
Indeed, American courts have been so unilaterally concerned with innovators' conduct that some have even allowed implementers to sue innovators simply for making an opening licensing offer that is later deemed "too high," even if the implementer refused to make any counteroffer at all.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com