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At a staff meeting, health care workers were invited to participate in facility observations, and signed consent was obtained from managers in observed areas.
Following the guidance of the U.S. Clean Air Act (U.S. EPA 1990), the New Jersey Toxic Catastrophe Prevention Act (State of New Jersey 2005) has also validated the importance of worker involvement in chemical plant safety by recognizing the right of employees and their representatives to participate in facility inspections and investigations.
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Patients are encouraged to participate in facility-based activities and programs.
Male community members were more likely to participate in health facility initiatives and were well informed about services available at the health facilities and took part in the activities of the health facility.
Kazakhstan, one of the world's largest uranium providers, has already agreed to participate in the facility.
Current regulations require that the medical directors participate in the facility's quality assurance committee, but the intensity of their involvement in quality improvement efforts is highly variable.
To respect principles of informed consent in research, providers in 28 selected facilities from the random sample of facilities participating in the facility assessment consented to be visited by a simulated client sometime over the next year, without knowing the specific date of the visit.
In addition to visits from simulated clients, all 19 selected facilities participated in a facility audit, third-party observations, and interviews with exiting family planning clients and service providers.
Of 603 sampled facilities, 461 participated in MMP (facility response rate, 76%); of 9338 sampled persons, 51% (n = 4127) were interviewed and had their medical records abstracted, resulting in a combined facility-patient response rate of 39%[17]].
To assess the quality of care at each facility, all providers participating in the facility evaluation and who deliver the MNH/FP services will be asked for permission to observe their consultations.
The first alternative would have Iran participate in an "international facility" in Russia that would enrich uranium, an idea that Tehran has consistently rejected.
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