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One programme implementer (PI2, interview 11) listed multiple implementation issues challenging the programme.
Key informants were identified based on their expertise of immunisation service as a past or present state or district-level immunisation programme implementer or researcher in either or both of the states.
Out of the 21 participants interviewed for this study, four were female (three researchers, one programme implementer) and 17 were male (10 researchers, five programme implementers/service providers and two policymakers).
The programme implementer PI2 explained that the projects were unsustainable because of tough economic conditions, drought and inadequate NGO support: A revolving loan given to a single women's association (which was to help CSWs in three of the six intervention sites) decreased significantly in value because of inflationb.
The ecological approach followed during intervention planning, clearly identified educators as being a major potential environmental influence on the behaviours of learners, both at inter-personal level (as support to the learner and as possible role model in terms of health related behaviour) and at organizational level (as educator and potential programme implementer) [ 7].
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Further quantitative research is needed to investigate relations between appreciation by target group members and programme implementers, completeness of programme implementation and programme adherence.
Following the interviews with the study investigators, we established contact with the programme implementers who were involved in the implementation of these studies.
These details and the lessons learned will provide important information to programme implementers about all aspects of the intervention strategy that need consideration before implementation.
We found that programme implementers across the three settings require multiple steps to catalyse scale-up.
"Police and law enforcement officials, detention centres health care professionals, and programme implementers violate their human rights every day.
There is still need for better drugs, treatment and diagnostics and an urgent need for scientists, researchers and programme implementers in the area of tropical diseases.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com