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Liberia borrowed a few principles from Kenyan and Malawian models, such as utilization of donor funds in Kenya to fill priority posts in the health sector, and the commitment of service required from beneficiaries of scholarships, stipends and housing in Malawi.
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Public anger over five fatal train crashes in the past six years, the collapsed state of the railway network and the frequent service shutdowns and inefficiencies have made transportation a priority post.
The evidence showed that priority post (first-class post or equivalent) did not increase response.
This is consistent with UHC as a growing international priority post the Millennium Development Goals (MDGs) [ 23].
'Enhanced' letters, letters delivered by priority post or additional reminders were also no more effective than standard communication.
Several strategies were used to optimize response rate and included: personalized cover letters, coloured paper for surveys, stamped return envelopes, follow-up mailing, and a priority post mailing [ 51].
Priority post, enhanced letters (eg, signed by the principal investigator) and different types of additional reminders are used by trialists in current research practice, but these were not found to be effective.
Based on the relevant arms of three trials (1888 participants), there is no clear evidence that priority post is either more or less effective than regular post at increasing trial questionnaire return (RR=1.02; 95% CI 0.95 to 1.09; p=0.55; heterogeneity p=0.53; figure 2C).
Based on the relevant arms of seven trials (1888 participants), there was no clear evidence that priority post was either more or less effective than regular post at increasing trial questionnaire return (RR 1.02; 95% CI 0.95 to 1.09, P value = 0.55) (Analysis 9.1).
There was no good evidence that the addition of a non-monetary incentive, an offer of a non-monetary incentive, 'enhanced' letters, letters delivered by priority post, additional reminders, or questionnaire question order either increased or decreased trial questionnaire response/retention.
The addition of a non-monetary incentive, an offer of a non-monetary incentive compared with no incentive or, 'enhanced' letters, letters delivered by priority post, or additional reminders compared with standard communication strategies did not increase or decrease trial questionnaire response.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com