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Therese Mahon, regional programme manager South Asia, WaterAid, London, UK, @WaterAidUK Kenya had a successful large scale programme that offered grants to schools.
One-Euro-Jobs constitute a large scale programme with an annual inflow of more than 700,000 people in the period 2006 to 2009 (Table 1), but inflows halved until the year 2012.
This would not be possible without the government commitment to this large scale programme and technical assistance offered by POUNZ.
The latter two interventions would, however, impact on the cost effectiveness and applicability of a large scale programme.
It is clear that such a large scale programme could not have been implemented easily in a randomized way, and ethical debates within India prevented it.
UNICEF with the Federal Ministry of Education and the funding of DFID, is currently implementing a large scale programme to accelerate girls' education in the Northern part of Nigeria.
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Whether gFOBT passes into history in CRC screening is now in the hands of those who organise large scale programmes.
Recently there has been political appetite for large scale programmes to address the wider social, economic and environmental determinants of poor health through urban regeneration and neighbourhood renewal projects.
In both the clinical trial and the larger scale programme, a high proportion of those originally assessed, and who might have potentially benefited, either did not start or did not complete the programme.
Political will and commitment have been evident in these successful larger scale programmes, each of which has taken a somewhat different approach to training, supervising and remunerating CHWs [ 11- 14].
The few calls for men to play a role in favour of prevention of maternal mortality [ 37- 39] have not been accompanied by larger scale programmes that address maternal morbidity through working with men.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com