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The most likely response to spiralling budgets for publicly provided medicine and education is to shift provision to the private sector.
Observations of the education sessions showed that initially patients appeared to be very sceptical of the DA system of follow-up with some people voicing their concerns that the change to the DA system of follow-up appeared to be a mechanism through which to discharge them from hospital waiting lists and shift provision of care back to GP.
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Task shifting provision of contraceptive implants to lower-level health workers may improve access to and use of the method.
Shifting provision of contraceptive implants to CHEWs in northern Nigeria was successful clinical observations showed that CHEWs consistently followed the standard protocols and consequently delivered high-quality services, confirming previous findings from other countries.
To assess feasibility of task shifting provision of implants, we trained community health extension workers (CHEWs) to insert and remove contraceptive implants in rural communities of Bauchi and Sokoto states in northern Nigeria.
Peer Reviewed Cite this article as: Charyeva Z, Oguntunde O, Orobaton N, Otolorin E, Inuwa F, Alalade O, Abegunde D, Danladi S. Task shifting provision of contraceptive implants to community health extension workers: results of operations research in northern Nigeria.
Shifting provision of contraceptive implants to lower-cadre providers such as community health extension workers (CHEWs) may be an option in addressing some of the pressing reproductive health needs in Nigeria.
The purpose of this article is to describe results of an operations research study that assessed the feasibility of task shifting provision of contraceptive implants to CHEWs in 2 states of northern Nigeria and to examine facilitating factors and challenges to CHEWs providing implant insertions.
The amicus coalition argued that the Walsh's appeal should proceed, highlighting the history of Anti-SLAPP laws in Illinois and throughout the country and the importance of fee-shifting provisions.
Critics have complained that attorney fee-shifting provisions may result in chilling patent lawsuits by small businesses, inventors and universities that may otherwise be meritorious.
Proponents of these apps see the potential of digital technologies to shift care provision from physicians' offices and hospitals to the patient's home or anywhere with reasonable Wi-Fi connectivity.
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