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We have two primary strategic goals: achieve universal mosquito-net coverage by the end of this year; and eliminate preventable malaria deaths by 2015 by scaling up coverage of all other available interventions (including access to rapid diagnostic tests, treatment with artemisinin-based combination therapy (ACT), intermittent preventive treatment, and indoor residual spraying).
The results demonstrate the importance of understanding the nature of the cost function when designing, budgeting and estimating resource requirements for scaling up coverage of HIV prevention projects.
The range of services needed for HIV and AIDS is so wide that advocates of scaling up coverage believe that in doing so countries can improve their whole health care systems.
"To renew our promise to the world's children, we have to focus on the leading causes of child mortality like diarrhea, pneumonia and malaria, scaling up coverage of high-impact, low-cost treatments, sparking greater innovation, and spurring greater political will to reach the hardest to reach children.
Barriers to scaling up coverage are the cost of training (which can be as much as $1000 per participant), the lack of funding to support training, and difficulties in measuring the impact of such integrated interventions and thus demonstrating their value.
The analysis demonstrates the importance of understanding the nature of the cost function in designing project contracts, selecting efficient levels of coverage for these projects, constructing their respective budgets and for estimating resource requirements for scaling up coverage of HIV prevention projects.
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NBC recently announced it would scale up coverage, previously virtually non-existent, to four hour-long programmes on NBC Sports plus a daily highlights package via the US Paralympics YouTube channel.That pales in comparison with Channel 4's Paralympic fest of an estimated 400 hours, or even the BBC's patchy coverage in 2008 when it showed daily highlights and live coverage at the weekend.
Current investment in maternal health is insufficient to meet the fifth Millennium Development Goal (MDG), and much greater resources are needed to scale up coverage of maternal health services and create demand.
A model of care is needed to increase early case detection, to diagnose the disease accurately, to simplify and improve treatment, to reduce side-effects of treatment, to deal with populations with HIV and tuberculosis appropriately, to decentralise care, and to scale up coverage in populations at risk.
The challenge remains not only to scale up coverage but also to integrate the existing schemes to achieve the broad level of risk pooling demanded by universal coverage.
The 15 interventions identified were adopted by the National Department of Health, and the Health Minister launched a campaign to encourage Provincial Health Departments to scale up coverage.
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