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There is the possibility that these challenges may be exacerbated in the context of the larger-scale, more standardised, implementation strategies now being pursued as part of major national modernisation initiatives.
We considered communities of this size to be optimal trial sites in terms of both standardised implementation and evaluation.
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On the basis of referral challenges highlighted above, HCWs highlighted the following as potential strategies to the referral challenges in Assin North: standardising implementation of the referral protocol, improving transportation systems, ensuring reliable data reporting and management systems, actively engaging the community and providing continuous training for health staff.
With this type of study there is always some difficulty of standardising the implementation of the intervention.
From this perspective, international regulations need to standardise the implementation of legal activities, motivated by a concern for global public health and well-being.
They are not accompanied by clinical resources that might be standardised to use in implementation.
Since the implementation was standardised at community- and household levels there is no difference between the four SODIS-user groups regarding campaign features such as 'Number of events taken place per community', 'Average number of participants per event and community', and 'Number of household visits per household'.
10 They are dependent on the context in which they are implemented, and their implementation is not standardised.
The implementation of a standardised validation questionnaire facilitated harmonised data collection and analysis across databases without compromising data protection.
Successful treatment of childhood cancer relies on many factors, some of which are inherent to each tumour's biology but some of which can be more readily influenced, such as early recognition of concerning symptoms by families and physicians, referral practices and the availability and implementation of optimal, usually standardised, treatment protocols.
The general approach to this project followed the EULAR standardised operating procedures for the elaboration and implementation of evidence-based recommendations.
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