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We have divided the costs into five categories: infrastructure building, system design and development, system implementation, data entry and management, and system advocacy.
This lack of biomedical knowledge may partly be explained by the fact that cervical cancer, despite being the most common female cancer in sub-Saharan Africa, is a rare condition that has not been prioritized by the national health system, advocacy programs have therefore not focused on cervical cancer [ 30].
Three main strategies seemed to be used by family carers to counter the inadequacies of the system: advocacy; using their knowledge of the person to influence care; and getting involved to fill the gaps in care left by the staff and system.
System advocacy has consisted of meetings and discussions, usually with national or regional administrators, to discuss the system's potential benefits, provide updates on its status, and train users on the system's abilities since this was the first time a web-based clinical system had been implemented.
For example, in the Canadian (CanMEDS) accreditation system, advocacy (defined as physicians responsibly using "their expertise and influence to advance the health and well-being of individual patients, communities, and populations)" constitutes an explicit expectation for every member in the profession [ 15].
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GEO BON focusses on coordination and harmonisation of the existing and emerging systems; advocacy and action to sustain the observing systems and to fill the identified gaps; and understanding and servicing user needs for biodiversity observations, particularly in the policy-making domain.
The FES is a questionnaire providing information on systems advocacy, knowledge, competence and self-efficacy.
Singh et al. [ 75] performed a factor analysis on the FES revealing four dimensions: systems advocacy, knowledge, competence and self-efficacy.
The scarcity of NGOs/health policy research and analysis institutions working on public health and health systems advocacy issues in Argentina was identified as a barrier to using research to inform policies.
The following roles of navigating the system and advocacy are presented separately to illustrate their different emphases.
Four core CP Coordinator roles, that of working with individuals, engaging the group, navigating the system and advocacy, were identified during fieldwork.
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