Evaluating such interventions is acknowledged to be challenging [ 11] but also necessary to identify and support best practice [ 12, 13].
The importance of such interventions is acknowledged by the development and integration of dedicated patient safety and quality improvement curricula and frameworks into medical education at all levels.
The results from the interviews show that coordination of maternal health interventions is acknowledged as an important aspect of improving the health system to provide comprehensive maternal healthcare.
Furthermore, although the importance of allowing the centres to take the lead in developing the interventions was acknowledged (Sundell & Roselius, 2008), the balance between staff and user influence may have been suboptimal.
Setting up and carrying out a randomised controlled trial to evaluate a community based public health or health promotion intervention, whilst not impossible, is acknowledged internationally as likely to be expensive and potentially inappropriate [ 4, 14].
While the current sample is the largest for a clinical group CBT intervention in PD at present, it is acknowledged that the study is underpowered.
It is acknowledged that psychosocial interventions for people with SCD are as important as medical treatment for comprehensive management.
Whilst the focus of this paper is on maternal health, it is acknowledged that the interventions to reduce maternal mortality will also contribute to significantly reducing newborn mortality.
Horizontal mobilization of communities to implement evidence-based interventions targeting maternal and child health is acknowledged as an effective way to increase demand for healthcare in multiple settings [ 64, 65].
Impact - Plausible contribution of the IHSS programme to lives saved has been assessed through modelling.It is acknowledged that other interventions not included in the IHSS programme package, such as skilled birth attendants, have also played a role in child survival and that the modelled estimates reflect changes in coverage at all levels of the health system, beyond the community level.
The influence of peers on young people's health behaviours is acknowledged [ 16– 19], and interventions using a peer-led model for health promotion have shown positive effects [ 20].
