The "service delivery" element was also seen as important and Santé Diabète provided technical support to humanitarian NGOs active in the north of Mali and health professionals still in these regions via telephone support with specialists at the "Hôpital du Mali" for complex cases.
Each of these has important implications for service delivery across all elements of an integrated mental health service.
Beside the typology of agencies involved in health services delivery, additional elements to the framework emphasise cultural and institutional values that underpin their activities, operating modes, and respective spaces of legitimacy in which they operate (Table 1).
We cannot strictly rely on surveillance level MDS however as this study showed that many of the service delivery and clinical data elements were missing from the Health Canada SDS.
Many data elements that are part of HPC such as detailed service delivery, program and clinical data elements are excluded from surveillance studies.
Using data collected from 288 volunteers working in 43 not-for-profit agencies, the study explores the elements of service delivery that impact volunteer satisfaction, and further tests the relationship between volunteer satisfaction and loyalty to the not-for-profit organization.
Nurses are however also in short supply and under pressure [28], and expanding elements of service delivery to the community should be explored.
Future research should potentially focus on other elements of service delivery and organization.
A reason might be that the outcome for some services might be difficult to evaluate by consumers and therefore, consumers focus more on the functional elements of service delivery.
