With dedication, planning, stakeholder engagement, flexibility and sensitivity, high recruitment and retention levels are achievable.
Whilst this is possible, we rather suggest the broad nature of the categories offers flexibility to stakeholders supporting the more meaningful application of the model to diverse populations.
With steady leadership, support from stakeholders, good planning, and flexibility in the face of adversity, a lab can accelerate Innovation for Development efforts, and tune our collective mind to solving our problems, starting with the most deprived.
First, we consider requirements of feasibility, flexibility and stakeholder contributions.
These performance criteria generally include the sensitivity, specificity, timeliness, representativeness, simplicity, flexibility, and stakeholder ownership of the system (CDC 2001; Drewe et al. 2012).
A possible reason is that they incorporate the space of alternatives of a set of operations, i.e. variants, which gives more flexibility to meet stakeholders' goals in a dynamic environment (Ali et al. 2010).
The confirmation of this move has been made possible by the securing of funding from stakeholders that will allow the flexibility to pursue legal action – a costly process that otherwise might not have been possible.
Even if nonadaptive management is used, it is smart to engage stakeholders actively and maintain enough flexibility in management practice to change the management strategy when the need becomes obvious.
Defining the types of access, getting all stakeholders to agree, and building the flexibility into the system was one of the most difficult tasks in building e-Chasqui.
Initial acceptance by the MOH and other stakeholders was also facilitated by the flexibility of the platform, which enabled the incorporation of indicators for disease reporting that was not part of the initial plan.
