Whereas changes to course content were usually evidence-based, changes to training methodology and course duration evolved as pressure to expand implementation mounted.
The site also highlights the Global Drug Facility (GDF), established as a mechanism to expand implementation of "daily observed treatment, short course" programs by facilitating consistent access to high-quality TB drugs.
These barriers include language barriers [ 21], inadequate time and resources [ 20], a push to expand implementation before integrated stakeholder supports are in place [ 19], organizational and professional agendas [ 16, 46], short-term funding and evaluation cycles [ 19] and a limited evidence base – particularly in terms of local evaluations [ 19, 20].
In addition to its role in facilitating integrated national MDA programs to provide treatments for their at-risk populations, the NTD Control Program has, of necessity, supported countries in mapping the distribution of infection and developing, in collaboration with WHO, action plans that will enable them to begin or expand implementation of drug delivery in the coming years.
To encourage expanded implementation by helping faculty develop the skills, abilities, and knowledge needed to teach dual use issues effectively, the best "train-the-trainer" programs explicitly seek to create a network among faculty to support and sustain each other.
A safe, effective and accessible AIDS vaccine is still many years off, and its greatest impact will be on an epidemic that is already waning due to sustained and expanded implementation of HIV treatment, voluntary medical male circumcision, PrEP, male and female condoms, along with behavioral and structural interventions that are currently available but not being used to their fullest potential.
In the future, we plan to expand our implementation by improving the data delivery mechanism to incorporate differentiated priority scheduling, such that higher priority traffic can be transmitted in preference to lower priority traffic.
We also suggest that with the support of databases such as WOVOdat, the most effective way to increase the appropriate issuance of VALs could be to expand the implementation of the use of probabilistic hazards management and cost-benefit analysis so that decisions can be as balanced as possible.
Therefore, more research is needed to expand the implementation of SBI in the at-risk population and further increase its effectiveness.
Whereas changes to course content were usually evidence-based, changes to training methodology and course duration seemed to be organic and evolved as pressure to expand IMCI implementation mounted.
While there is a need to expand the implementation of accreditation to cover all PHC centers in Lebanon, considerations should be given to strengthening their financial arrangements as well.
