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So the key is focusing enough of development of systems, World Bank, U.S. Aid, MCC, the European Development Fund, to address these sort of specific bottlenecks.
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Context specific solutions to overcome challenges were categorised into thematic areas and linked to specific bottlenecks.
The strength of the study lies exactly in the increased understanding of this social heterogeneity or the existence of differential risk factors and in the identification of one specific bottleneck for the further reduction of malaria in this border setting.
The most commonly cited specific bottlenecks were lack of awareness and initiatives targeted at raising awareness of preterm birth risks and management (9 countries), and the absence of an accessible facility or transportation to reach a facility where ACS could be administered (9 countries).
These analyses inform the development of systematic, targeted approaches to strengthening of health systems, with a focus on overcoming specific bottlenecks for the highest impact interventions.
For a detailed description of the steps taken to analyse the intervention specific bottlenecks, refer to the overview paper [ 16].
Moreover, our model's ability to accurately quantify these dynamics provides a means to identify specific bottlenecks and test the effects of proposed operational changes.
For more detailed analysis of the steps taken to analyse the intervention specific bottlenecks, please refer to the overview paper [ 20].
This is the first paper in a supplement of nine papers that provides an overview of the methodology and findings of a new set of analyses using data from 12 high-burden countries to carry out an in-depth exploration of the intervention-specific bottlenecks to the scale up of quality care around the time of birth and for small and sick newborns [ 17- 22].
All 11 country teams cited as a specific bottleneck the lack of inclusion of ACS on the national essential medicines list (NEML) for fetal lung maturation, though all included dexamethasone for other indications.
The most commonly cited specific bottleneck was inadequate guidelines on ACS use, cited by 9 of 11 country teams.
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