Secondly, it is likely that AMC roll-out interventions will require extensive communication campaigns to explain what clinical AMC is and its effect on HIV acquisition.
The study findings, along with other examples of AMC roll-out interventions which are ongoing in Kenya, Botswana, Swaziland, Zambia and Zimbabwe [ 12], provide evidence that a satisfactory uptake can be expected from the AMC scale-up interventions that are on-going in other countries of Southern and Eastern Africa [ 10].
A similar approach can be relevant to roll out of interventions across a wide range of health issues – HIV prevention, diabetes or hypertension care.
18 Consideration should be given to staggering the roll out of interventions to facilitate higher quality designs 48 and to extending national reporting to procurement and antibiotic prescribing data 16 and to an increased range of infections.
Additionally, the RMS is useful for tracking changes in mortality due to the roll out of interventions such as programmes to prevent mother-to-child transmission of HIV, and provision of antiretroviral therapy.
Political culture may make policymakers want to be seen to be doing 'something' and press ahead with roll out of interventions like PAS before thinking about evaluation, however as long-stated by the British Government [ 24], and advocated in the recent Health Select Committee report [ 2], it is important that policy interventions should be evaluated.
A disadvantage of the design is the need for data collection from all units at each sampling period, and potential lengthening of the trial to allow sequential roll out of the intervention across all groups [ 54].
The research plan for PALM PLUS was developed with the intent to generate evidence that could be used to guide future decision-making by policy makers and program implementers in consideration of broader roll out of the intervention in Malawi.
4 The key approach of HP4ALL is to roll out the interventions in high-risk neighbourhoods meaning neighbourhoods with rates of adverse perinatal outcomes above the average of the selected municipalities.
For example, some 'basic CHWs' were allegedly promised early in the intervention roll out that all CHWs would receive iCCM training; others were promised mobile phones.
It is important to state over here that there was a slight delay in the roll out of the MSM intervention programme in AP.
