Considerable progress had been made already in both horizontal scale up (geographic expansion) and vertical scale up (institutionalization, such as, inclusion in norms, training, supervision, procurement, and reporting systems).
Seven key informants (clinic, NGO, and district staff) were interviewed to obtain information on the training of CHW, supervision, procurement, and referral processes in addition to other elements of the programme operation and its challenges.
Medical Officer In-charge had to spend approximately 24 hours per month for supervision and procurement of vaccines and other consumables for ABM clinic.
Key challenges to implementation and scale-up of the community-based service delivery model, however, were identified, including gaps in skills of the CHEWs, training and supervision needs, procurement of supplies, transportation issues for home visits, and recruitment and retention of CHEWs.
For example, Barry Goldwater, Republican of Arizona, and Sam Nunn, Democrat of Georgia - probably the two most careful students of our military affairs in the Congress - agree that the procurement, supervision and direction of the power of the Pentagon under the present Joint Chiefs of Staff has to be questioned and reformed.
In the second year of operation a general manager will be hired to take over staff supervision, staff training, procurement and inventory management.
The transfer of programme supervision and ARV procurement roles as well as corresponding budgets was protracted and took time to resolve.
As late as last October, the World Bank was finding that in Indonesia, "despite apparent compliance with World Bank guidelines and documentation requirements for procurement, disbursement, supervision and audits, there is significant leakage of Bank funds".
The application of this VfM process has been criticized in Australia because of the difficulty entailed in capturing the full cost of public financing and public procurement and supervision of design and construction.
We thank Salvatore Artale for clinical care, Federico Pozzi for data management, Carlo Zanon and Silvia Benvenuti for sequence analysis and data management, and Roberta Schiavo for supervision of tumor samples procurement.
This policy entailed the establishment of a uniform national essential medicine list (EML) and stipulated a series of policies on drug procurement, tendering, supervision and quality assurance.
