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In 2009 four sites (Makoka, Mazanduwa, Kalungama and Kamtekeke) received IRS and with the scale up of activities a fifth site (Ambali) was sprayed in 2009.
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KIWAKKUKI has experienced significant scale-up of activities over the past 20 years.
Successful CHW programmes fulfil a number of conditions to ensure performance with regard to quality assurance, long-term reliability and scale-up of activities.
If proven to be a feasible approach, future studies and monitoring efforts could be built into scale-up of activities among all nurses at health clinics.
Whereas the current prevalence of HIV and syphillis is likely to be low in these three cities, the results should be seen as a window of opportunity to prevent the spread of HIV and sexually-transmitted infections through a rapid scale-up of activities, including increased visibility and reach of harm reduction services - particularly those provided through community outreach.
The objectives of our evaluation were to 1) collect data to inform the national scale-up of HIV services in TB facilities, and to 2) provide baseline data by which to evaluate the scale-up of activities using national surveillance data.
Despite a successful ten-fold scale-up of intervention activities in three years, full integration into LGA systems did not materialize.
There is concern in the literature about the negative consequences to the broader health system of global health initiatives which have a disease- specific focus, in particular those related to the scale-up of HIV activities [ 27].
However, combined with logistical support, on-site supervisory visits and monthly continuing education meetings, the training allowed the scale-up of HIV activities for patients with TB at primary health care clinics.
To support the scale-up of TB/HIV activities, resources were needed to train staff about the relationship between TB/HIV and the importance of routinely offering HIV testing and documenting patients' test results.
10– 17 In the Andean and Amazonian regions of South America, the scale-up of military activities to combat illicit drug trafficking and terrorism in various endemic settings 18 provides an avenue for the continued transmission of CL. 19 In recent years, outbreaks among military personnel have been reported in Brazil, 14– 17 Colombia, 20 the British Guiana, 21 and the French Guiana.
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