Narrowing the provincial gap in MMR is a difficult challenge faced by the South African government as it attempts to reduce maternal deaths.
The model of building a team based on existing public sector staff and responsibilities was associated with strengthened leadership and rapid spread of QI, the capacity to recognize and address provincial-level system gaps, and the ability to ensure a seamless transition to an expanding national QI program.
One existing mechanism that can help address this gap is provincial administrative health data.
While some capacity-strengthening activities exist at the national level (e.g., those conducted by FAO [FAO Food and Agriculture Organization of the United Nations [2008], the profound capacity gaps at the provincial level are yet to be addressed.
Despite a well-trained and experienced HIV clinic team, the baseline measurement identified several quality gaps at the provincial clinic (Fig. 2).
However, because these resources are very localized and national, the Chinese have a gap at the provincial level.
A big gap exists at provincial, district and school levels about education officials' perception and understanding of the need for data on one hand, and the actual data collection, analysis and its use on the other hand.
In the Tokugawa period (1603 1867), gaps between central and provincial calendars disappeared, especially after the establishment of the Jōkyō calendar, the first native calendar compiled in Japan, instead of the Chinese-based one that was in use until this period.
Gaps exist in national, provincial, and local capacity for monitoring of ECE services.
Results from the distribution of human resources, such as the midwife staffing shortages at provincial hospitals, suggest that there are gaps in deployment planning for hospital midwives.
