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Overall, there was no significant underlying trend in mean time from the EMS call to arrival of the ambulance at the scene (p=0.18) but potentially appeared to decline over the During-implementation period (p=0.081).
Observations were made in the classroom during implementation of the activities.
In each region, adjacent path lines can be interconnected at the ends during implementation of the dwell-time map.
This change was significant (p=0.003), reflecting an improvement in identifying stroke patients relative to the Pre-implementation period both the During-implementation (OR=4.10 [95% CI 1.58 to 10.66]) and Post-implementation (OR=2.30 [95% CI 1.07 to 4.92]) periods.
They can put off assignments from the township government and compromise the tasks during implementation.
Problems were sometime caused by the lack of clarity about who had decision power and the lack of involvement of the leaders during implementation.
SA also participated in ETA programme steering group meetings throughout the planning and implementation of the new model and was in constant contact with the services during implementation.
Not only can coercion be unethical and even illegal, but also a dissatisfied counterpart could sabotage the deal during implementation.
1. Communicate frequently and with transparency with parents and the community during implementation of state-driven compliance issues.
Sustainability: Given the fragmentation witnessed during implementation, the sustainability of QP without UNICEF support, as envisaged earlier, is not possible.
The normalization process model assisted in categorising the challenges experienced during implementation of the intervention.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com