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This translates into a postcode lottery in terms of availability and sustainability of services, which needs to be addressed.
Common themes include ensuring sustainability of services, commissioning for outcomes and securing funding through social impact bonds.
To date, the sustainability of services has not been adequately addressed and few studies have considered measures of service capacity and demand simultaneously.
About 30 percent of Africa's water wells are no longer operational, so donors like the World Bank, the Gates Foundation and the United States Agency for International Development need to get serious about maintenance and sustainability of services.
Jason Dorsett, financial reporting director at Monitor, said: "All trusts need to up their game in delivering efficiency savings this year in order to maintain and improve the quality of care for patients, and ensure the sustainability of services.
Dr Iain Roberthen-Steel, the country director for the Hywel Dda board, said talks are also underway with Fishguard Practice to "ensure sustainability of services in the short, medium and long term".
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Siewert moved for the Senate finance and public administration references committee to examine the tender process and how the outcomes will impact on the efficiency and sustainability of service delivery.
This alludes to another crucial factor in determining the sustainability of service changes: the availability and involvement of key players.
Assessments of need on the ground and accurate costings for sustainability of service delivery are needed.
The principles of the primary health care approach include equity in health service delivery, access to affordable and appropriate services, empowerment of people, and sustainability of service provision.
For sustainability of service, we attached a blog to the web-site, to collect user feedback and learn about new features requested by the community.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com