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Further quantitative research is needed to investigate relations between appreciation by target group members and programme implementers, completeness of programme implementation and programme adherence.
Two aspects of fidelity of programme implementation include adherence (is the programme implemented as intended by its developers?) and completeness (what proportion of activities have actually been implemented?).
Continuous monitoring of programme implementation is also needed to adjust programmes if misguided developments become evident.
Probability of programme implementation was high if measures remained within the scope of the communities' range of decision authority.
Ten settings were chosen for the qualitative case studies based on the collected quantitative data representing interesting cases of programme implementation and quality management.
The most recommended societal perspective requires a comprehensive assessment of programme implementation costs and all categories of savings due to health effects.
Basic differences between the DR programmes carried out in European countries are more related to structural issues of programme implementation and modes of participation than to individual differences between each of the programmes [7].
The healthcare payer perspective was solely chosen by three studies, which would require the inclusion of programme implementation costs as well as direct (non -medical costs that have to be reimbursed by health inon -medical
This single implementation framework does not make room for contextualization of programme implementation and allow the tapping into the knowledge base of both the school and the community in making judgments about who is really needy and who is not.
As no baseline data were available, a post-test only design was adopted and comparison was made between the two areas of programme implementation (e.g., peri-urban and rural areas) to explore the existence of differences, if any.
The coverage data in this study suggests that a high proportion of even remote rural outlets can stock anti-malarial medicines (such as in Kinango), and that even the very low levels of programme implementation seen in these areas may support important utilisation for children under five years.
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