For Kesetebirhan, the biggest successes have come from targeting "cultural and attitude-related bottlenecks", which limit rural women from taking up services even when they are available.
Relay and all of its brethren are on track to take up service jobs at new hotels in the near future, though, for now, they only operate well in environments that tend not to change much — this is one place where humans still hold an ace card.
I've heard many people say that behavior adoption is a "last-mile" problem if only we could get these communities to take up services!
For example, Kyrgyz clients indicated that many IDUs did not take up services from outreach workers in case these would reveal their drug dependence.
Local authorities need to support initiatives that enable data sharing and linkage so that GP Practices are informed when patients take up services such as smoking cessation or alcohol harm reduction programmes run by social services.
Local Authorities also need to support initiatives that enable data sharing and linkage so that GP Practices are informed when patients take up services such as smoking cessation or alcohol harm reduction programmes run by social services.
An important avenue of research, they explained, is to understand why communities in LMICs sometimes do not take up services when these are provided and how these "demand side" barriers can be overcome (KIs 7, 12).
Whilst these aims are clearly desirable, methods of identifying those with unrecognised visual loss and encouraging them to take up services that will potentially improve their eyesight and quality of life are not well understood.
Whilst we did not interview men who had failed to take up services ourselves, our data set included a lot of talk about men and services and a general consensus, echoing findings from elsewhere in sub-Saharan Africa, that fewer men than women made use of HIV services and often only when seriously ill.
21 In the study by Klevens and colleagues, 4/36 women (11%) who had face to face screening reported at one week that they had taken up services from the computer printout of resources compared with 2/66 women (3%) in the computer (comparison) group.
