Even though few data are available, drug-related expenditure is proportionally higher in Oncology than in other medical specialities and overcome staffing costs for outpatients care [ 8, 9].
Thus, although infrastructural shortcomings threatened to undermine NIMART success at many sites, some facility managers demonstrated remarkable innovation, adapting integration models to overcome staffing and space constraints while minimising disruption to existing services.
17 Default service provision by properly trained staff, rather than reliance on existing staff to tackle smoking as part of their routine clinical work, also overcomes staff reluctance to intervene, low confidence, low prioritisation, lack of skills, and other barriers to smoking intervention in practice.
Additionally, in order to overcome chronic staff shortages, in the three urban health centres (HC1, HC3, HC4) 'overtime' payments were provided to existing healthcare workers to work extra shifts in the new ART clinics.
Lists efficiently overcame staff forgetfulness, haste and overconfidence, and rates of intravenous catheter infections, pneumonias and a variety of medical errors plummeted.
While resistance can be overcome by empowering staff to make the change themselves, [ 21] attempts to give staff ownership for driving the change in this intervention (through collaborative working, agreeing plans of action and establishing link persons) was not embraced.
To overcome what archdiocese staff had feared would be a meager sound announcing himself, they provided him with a hammer.
At Barnardo's we helped staff overcome their concerns by introducing individual learning contracts, team-based learning and promoting learning in small, bite-sized modules.
This also helps overcome concerns amongst staff that they will have to touch something dirty, he says.
