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This collaborative network also fosters research, annual meetings, and implementation of new support services.
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The barriers pointed out in this study related to the feedback reports and to the feedback meetings and the implementation process.
Such interventions could be realized through multidisciplinary clinical audit meetings and the implementation of critical pathways that aim to cross the boundaries of physicians' specialties and professional experience.
The institutionalisation phase entails the integration of audit into existing practice so that it becomes routine, including regular discussion of findings at perinatal review meetings and the implementation of recommendations (stage 5).
The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2458/11/593/prepub We thank all health care staff in Malawi who participated in the research studies, attended national stakeholders' meetings and assisted in implementation of policy at health care facilities.
SA also participated in ETA programme steering group meetings throughout the planning and implementation of the new model and was in constant contact with the services during implementation.
This information was expanded upon by several IPs who reported that, although their Ministry was represented throughout the process, the individuals attending the planning and implementation meetings changed frequently.
Evaluation of minutes of steering group meetings during preparation for and implementation of POCT revealed a number of issues important to others considering multi-disciplinary POCT for HIV programmes.
If deficiencies were detected during the exercise, efforts were made to correct them via departmental meetings concerning CPR procedures and implementation, carrying out specific actions to correct deficiencies, and by inviting the medical and nursing staff to refresher courses in CPR (advanced cardiac life support [ACLS] or basic cardiac life support [BLS]).
Issues relating to the implementation of the intervention were added, based on participant observation of steering group meetings, and knowledge of the implementation from a wider evaluation [ 19].
This will mean clarifying the needs of the workforce, agreeing staff development, and processing meetings required for decision-making and implementation.
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