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While the declines in mean household visits per month could be in part attributed to sharing of workload marked by the successive addition of new CHWs (some of whom went to new villages, others to villages where MNCH CHW had already been deployed), it may too reflect a continuing downward trend in outputs often characteristic of program implementation over time.
Yet, despite these system challenges, this study has shown that integration can have a positive motivating effect on staff and can lead to better sharing of workload - these are important opportunities that deserve to be built on.
Despite these systems challenges, this study has shown that integration of reproductive health and HIV services can have a positive motivating effect on staff and can lead to better sharing of workload – these are important opportunities that deserve to be built on.
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And a recent study of African sparrows showed that the hard workers died earlier, or as researcher Dr Andrew Young put it: "Our findings suggest that the unequal sharing of workloads may leave the hardest-working individuals at risk of oxidative stress, which could lead to poor health and accelerated ageing".
Clinical workloads had to be adjusted, revised consultant job plans agreed, and concerns about unequal shares of workload among organisations addressed.
To estimate the share of workload attributable to the HaH programme, we included in the numerator of the total family doctor contact rate all preventive as well as curative contacts in the practice and at home.
Workload pressures on academic departments tend to limit time for interprofessional exchanges, but departments should consider establishing formal networks for mutual support, training and sharing of teaching approaches.
In real life, as in the film, Jonathan became part of the family, sharing the workload of caring for Stephen with Jane, and helping bring up the children.
With grades and the group's pride at stake, the temptation is to concentrate on getting the job done at the expense of sharing the workload equally.
Married parents have that option to split the workload, even though it usually does not happen, but single parents do not have the option of sharing the workload with anyone.
The predominant ethos was one of sharing the workload between medical and nursing colleagues in the team (see Table 4).
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