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Key stakeholders who were interviewed to inform the adaptation of PCAT included a PEPFAR working group and international implementing partners based in the US, Uganda and Tanzania.
In Mozambique and Lesotho, where task-shifting pre-dated GHIs, scopes of practice of non-physician clinicians and nurses were officially expanded, with HIV training provided by PEPFAR and international implementing partners (e.g. International Training & Education Centre for Health in Mozambique).
USAID should demand more creative ideas for longer-term commitments from its international implementing partners.
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The majority of PEPFAR activities are conducted through national-level implementing partners that include international nongovernmental organizations and local government agencies [ 6, 8].
UNICEF is the lead agency with contributions to programme design, resource mobilization, contracting the implementing partners (national and international non-profit organizations) and technical oversight.
"My estimate is that it's much higher than the 2% figure, as local agencies work as implementing partners for the UN and international NGOs.
One of the reasons is the limited capacity of implementing partners, such as national and international NGOs and the Government.
Given that healthcare in conflict situations is delivered by a wide range of national and international agencies, extensive collaboration between relevant health authorities and implementing partners should be encouraged.
Throughout sub-Saharan Africa, implementing partners at country level include WHO, WFP and international NGOs such as Population Services International and foundations such as the Clinton Foundation.
With the help of implementing partners and donors, MOHSW has found it useful to reject the international blueprint and develop strategies targeted to Liberia's unique challenges.
"Our implementing partners do not want to work with the military," an A.I.D. official said.
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