Knowledge of the field in which a new technology needs to be implemented and awareness of the stages of change necessary to implement and sustain the implementation of the new technology is therefore an essential factor in the whole process [ 8].
This is perhaps unsurprising, because government funding is required to support and sustain the implementation of any new initiative and is therefore often a necessary consideration for policy change.
The current study did not yield information on the frequency, intensiveness, exact timing or success of the activities to sustain the implementation successes achieved.
Thomas and Grindle (1994), in their review of population reforms in 16 countries, explain that sustained commitment to the implementation of population policies tends to be constrained by two main factors: the dispersed and long-term nature of their impacts, and the lack of mobilized support from users of contraceptive services.
These were the same hospitals as included in the SUSHI study, and were found to differ in the level of sustaining the primary implementation success (Table 2).
Recognize the need to lead with external-to-internal X-ISF to sustain the adoption-implementation of superior high-technology is the principal take-away strategy implication.
Indeed, many of the proposed cellular functions of InsP6 cannot sustain a challenge from the implementation of a rigorous set of criteria, which are designed to avoid experimental artefacts.
Even if an audit programme has been implemented and sustained, this does not guarantee the implementation of recommendations emanating from the regular audit and feedback.
However, in contrast to this trend, a number of countries in this region have experienced a decline in malaria transmission over the past decade due to the implementation of sustained malaria control and prevention strategies [ 2- 6].
The same public vigilance and enthusiasm that aided the passage of the historic health care legislation will be need to be generated and sustained all over again throughout the implementation of the policy to ensure that individuals who currently don't have access to adequate health care are able to have that pathway opened to them.
