If sustainable improvements are to be achieved in Guatemala, the complex nature of this problem demands an interdisciplinary, multilevel approach.
For this reason, they represent an important intervention point, if meaningful improvements are to be achieved in the Fund's overall performance.
These same reviews also emphasize the need to look at 'bundling' or sequencing of different policy interventions if sustained improvements are to be achieved [ 4].
Their findings confirmed further that when therapy is aimed at improving oxygen delivery (especially in the severely ill, in whom control group mortality was greater than 20%), goals must be achieved early, before the development of organ failure, if significant improvements in outcome are to be achieved.
If improvements in health outcomes are to be achieved by using PREMs in clinical and health system decision-making, efforts must be deployed to meet this challenge.
Savin-Baden (2007) however, argues that different approaches to face-to-face problem-based learning can both guide and inform the way that problem-based learning is applied to online settings, although it is likely that higher levels of student motivation and self direction will be called for in such settings if improvements in self-efficacy are to be achieved (Guy and Lownes-Jackson 2010).
However, this justification of inadequate services needs questioning if real improvements to Indigenous health outcomes are to be achieved.
Indeed, all zones were receiving the full package of interventions by the time user fee subsidisation was introduced, strengthening the argument that all three measures should be in place if significant improvements in health-care utilisation are to be achieved.
Improvements in processes of care are to be achieved by Plan Do Study Act cycles: stepwise changes to care practices guided by measured results for which appropriate measures and usable data-collection tools should be available.
Recent syntheses of available evidence, notably those by the UK Commission on Africa and the UN Millennium Project, describe an emerging consensus that if the MDG targets or comparable improvements in human well being are to be achieved, then substantial long-term commitments of additional resources by the industrialized countries are necessary [ 12, 13]; see also [ 14](p. 190 192).
Interviews with district officials have revealed that the improvement of teaching and learning are to be achieved through the implementation of activities of the Learning Support Material provisioning system.
