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The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2334/12/73/prepub We thank all the study participants, village leaders, data collectors, Sisonke District Department of Health and field supervisors.
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By focussing on systematically collecting questionnaire based opinion leader data this wider context may be missed.
Lastly, using a questionnaire that focused solely on gathering opinion leader data may have provided better response rates.
Audiotaped semi-structured interviews were held with the researchers, project leader, data manager and three practice nurses up to January 2006.
The study reinforces Grimshaw and colleagues' [ 6] assertion that there is limited empirical evidence to support the collection of opinion leader data.
Questionnaire approaches that focus only on gathering opinion leader data may achieve higher response rates, for example, Cosens et al. [ 29] achieved 40% response rate to the opinion leader section in their study.
Of the four dominant methods of collecting opinion leader data - sociometric, key informant, self-designating and observation [ 15] - sociometric methods have been shown to provide high quality data [ 18] and their use has been explored in similar studies [ 16].
Again, the majority of the leader data points (Fig. 4B, left plot) argue in favor of a purifying selection (dN/dS < 0.6), while the majority of the mature domain data points (Fig. 4B, right plot) are indicative of diversifying selection (dN/dS>1).
For quality assurance purposes team leaders assessed data quality for all cases and independently re-evaluated a 10% sample of retrospective and prospective case records during data collection.
Given the current fiscal reality in the DoD, analysts must provide leaders with data based recommendations on systems to ensure that the DoD is being efficient with their limited resources.
For leaders, that data is received by many, magnifying its impact.
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