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The SUM framework stresses the importance of monitoring to track the effects of changes from pilot projects or initial scale up results (i.e. intermediate outcomes/process indicators) to make the necessary adjustments as the project scales up further [ 25].
A major challenge for sustaining and increasing the scale-up further is the shortage of clinically qualified staff, particularly doctors.
Later, this number was scaled up further.
Total power output of the high performance micro-SOFCs was increased from microwatts up to the milliwatt scale, and can be easily scaled up further for higher power output by this method.
Concurrent systematic monitoring of the process and outcomes of scaling up further met Simmons et al's (2006)[ 24] and Gilson and Schneider's (2010)[ 19] recommendations to use evidence to guide and evaluate scale-up.
Therefore, ensuring good retention in care remains one of the key challenges for ART programs while the treatment should still be scaled up further based on the 2013 WHO guidelines [ 7, 9].
However, we believe that this course could be scaled up further and are interested in working with others to help adopt this course, or similar courses, at their institutions.
We assess the structural inputs and processes of care that support HIV testing and counselling in routine antenatal care to understand supply-side dynamics critical to scaling up further integration of HIV into RMNCH services prior to recent changes in HIV policy in Tanzania.
The Taliban has maintained a steady level of fighting over the winter; in spring, they normally scale up attacks further.
While they don't need instructors this semester, they'll be looking to scale up even further next semester and they'll be needing donated laptops and laptop chargers too.
Although many European countries already have national guidelines for HIV testing [ 28], ECDC has also issued an evidence-based guidance for testing programmes to help inform recommendations and scale up testing further [ 29].
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