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In support of the official policy, districts undertook activities that increased the involvement in or awareness of the CCM program among health center staff.
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In countries with implemented health sector decentralization policies, district health managers have, as Bossert [ 10] calls it, a broadened 'decision space', which refers to effective decision-making or range of choice within the various functions of finance, service organization, HR, targeting and governance.
Professional support project staff supported the implementation of the policy in districts by coordinating training in professional supervision and peer group supervision, supporting district trainers and providing resources.
There was also a high level of knowledge and ownership of the new policy by district and sub-district managers.
In the North West Province, the distributed ownership and leadership of the policy by district and sub-district managers was central to the change process, which they drove through the Task Team and well-established district and sub-district structures.
The analysis found no evidence that removing fees improved the probability to seek care when falling ill, even after adjusting for the varying degree of implementation of the policy across districts [ 51].
(HD-FGD-manager at district level) It was so hard to for health manager to implement HI policy at district level.
As a matter of policy, the district attorney's office does not discuss continuing investigations, a spokesman said.
But by announcing a uniform policy, the district may head off conflicts and discriminatory decision-making at individual schools.
The policy in District 3 was announced by Patricia Romandetto, the superintendent, at a principals' conference on Wednesday.
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