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Annual monitoring was operationalized as testing occurring 31 365 days after the index date.
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There also remains a need to gather evidence on the safety, efficacy and cost-effectiveness of decentralization of services as clinically directed monitoring is operationalized in the context of limited laboratory support, outside of national centres of excellence.
The category 'level of NaME' was operationalized referring to the ESSENCE framework 'Planning, monitoring and evaluation framework for capacity strengthening in health research' which describes three CD levels: individual and/or team, organizational, and system levels [ 10].
Second, proficiency was operationalized in terms of learners' class levels.
Team coordination was operationalized using network centrality and density measures.
Affordability was operationalized as gross domestic product (GDP) per capita.
Household wealth was operationalized as possession of household assets.
Household wealth was operationalized as possession of household assets e.g., television, mattress, cattle.
This was operationalized as a binary variable.
Neighborhood was operationalized as census block group.
Multimorbidity was operationalized in six ways.
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