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But enough about the idiosyncrasies of peripheral staff that could stand to ratchet up its professionalism a few notches to match the prices.
As first responders are always the peripheral staff, all factors, to the advantage of the system, worked towards significantly improving outbreak response [ 8].
Training of DSO and epidemiologists was better than that of the peripheral staff in our study like in several others [ 37, 60].
Outbreak indicators were well understood and implemented by peripheral staff, however poor filing of final outbreak reports jeopardized documentation and hence the assessment of response adequacy and institutional learning.
The peripheral staff had better understanding of the outbreak thresholds, was well supervised by the THOs, and had improved access to vehicles and logistic support as compared to the DSUs.
A majority 16 (47%) districts and 24 (52%) facilities reported that a mandatory quarterly visit from the next level will improve reporting and provide much needed assurance that the work of peripheral staff was appreciated.
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The ones included in the evaluation study were 24 members of the DHMT, managers and program officers, 11 district and regional administrators, planning and human resource officers, 7 peripheral facilities' staff (including one from a mission health center), 4 hospital senior staff (including one from a mission hospital), 4 NGO representatives, and 4 district health board members.
Community surveillance, reporting by the vaccinators and peripheral health staff involved in outreach should be injected into the surveillance system.
It is performed by peripheral laboratory staff and produces results in two hours at a cost of $5 per test.
Among the explanations offered for these clinical deficiencies were limited task delegation to peripheral sector staff, inadequacy of equipment and the absence of a well-equipped unit [ 29].
In Odisha, peripheral health staff are responsible for providing primary health care services, where supervision continues to be a problematic issue.
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