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The scale of resource required to support improvements is often underestimated, 6 11 but without adequate financial support, infrastructure, managerial skills and dedicated time, efforts to improve quality can quickly run into difficulties.
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There is a role for many players, but only governments can provide the scale of resources required to make further, much-needed progress.
The key domains include the meaning or definition of scaling up used in the conceptual model, the type of resources required for scaling up, and the different perspectives on planning, implementation and evaluation.
Degree of resources required to adopt None Considerable No additional resources required Requires substantial investment of new resources.
Such interventions are likely to benefit from clarity about the theories of change underlying the programme, recognition of the scale of resource and organisational support required to make patient safety efforts work, and improved understanding of how practitioners, middle managers, and organisational systems can be better supported in the face of daunting complexity and multiple priorities.
Utilization of this resource requires the development of efficient processes for small-scale, decentralized methane conversion.
One of the major lessons learnt was the scale of resources and organisational support required to make patient safety initiatives work.
The researchers estimated that their algorithm could capture 95percentt of existing large-scale facilities using fewer than 10percentt of the resources required for a manual census.
This paper presents the annual costs of the PROMISE EBF intervention in Uganda, and provides estimates of the resources required to fund the scale up to district level.
Their membership numbers are a fraction of what could be in a full-scale exchange and gives some concept of the resources required.
Program costs needed to roll out MAMC were calculated as the sum of the resources required to deliver a 5-year scale-up of MAMC to saturation and the resources required for the maintenance of MAMC over an additional 15 years, across all 16 settings.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com