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It looks great, but you're not really going to talk to these people about large scale delivery of public services.
Foreign assistance for HIV was used to fund antiretroviral therapy, HIV prevention, care of vulnerable populations, and building capacity for large scale delivery of healthcare to infected people.
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Health system research is needed on the effectiveness of these proposals for an improved response to health transition and on scaling-up effective approaches in large-scale delivery programmes [ 15].
The weak point in the plan might be the creation of a large-scale delivery system.
Each country has many potential large-scale delivery vehicles for scale-up and spread through government programs, private sector, and networks of individuals, communities and organizations.
What possible strategies may be of use in supporting the translation of facilitation skills to large-scale delivery of participatory interventions?
The Integra Initiative therefore embeds rigorous evaluation research within the 'reality' of government commitment to large-scale delivery of integrated HIV and SRH services, and to use the findings to strengthen ongoing service provision at each site.
Beyond the country-level, the new evidence that will be generated from these evaluation activities is anticipated to show the extent to which large-scale delivery strategies maximize frontline worker potential to increase coverage of life-saving interventions; this evidence will be relevant for others striving to improve the survival of mothers and newborns.
Theo has been the technical director of several European research initiatives including large scale innovation delivery projects such as BEinGRID and TrustCoM, and more recently OPTIMIS as well as research community building initiatives such as iTrust.
For reasons that have been described in a previous paper [ 5], cost-effectiveness analysis of large scale service delivery interventions raises issues that are not part of standard Health Technology Assessment HTAA).
It is adaptable to a variety of single or multiple in situ and/or ex situ treatment systems and for a larger scale system, delivery of secondary treatment solutions or powders should be designed carefully.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com