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Some analysts have called for more attention to "structured experiential learning", by which implementers complete rigorous, real-time tracking of important aspects of programme performance, with tight feedback loops and continuous attention to addressing performance problems [ 83].
This was used to collect quantitative data on interactions between CREATE implementers and their students; these data were used by the OE to determine the extent to which implementers ran student-centered CREATE classrooms.
Carroll sees adherence, defined as "the degree to which implementers adhere to the intervention as intended by the intervention designers", as the main element of fidelity, and distinguishes four adherence subcategories: content, coverage, frequency and duration.
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In this framework, implementation fidelity is measured by the extent to which the implementers adhere to the intervention as intended by the designers.
Currently there are no national guidelines for mHealth practice, which gives the implementers much freedom.
Also, the coordinating units should resist the temptation to double-up as direct implementers, which could compromise their coordination function.
The differentiation between the two kinds of contexts is important with respect to the extent to which the intervention implementers can influence them.
An intervention logic model will be developed through discussions with implementers which will identify key proposed programme inputs and the anticipated intermediate outcomes associated with these inputs.
More also, in most African countries, when and where BMS is provided free, its sustainability depends on the generosity of the PMTCT Implementers which often, may not be predictable.
Some past participants had implemented HHR education prior to their attending the TTT course (termed "pre-course implementation" and these respondents were termed "pre-implementers"), which supports the above claim by 11 respondents that they were already teaching human rights when they attended the TTT course.
Another reason for the failure of LAR might have to do with change implementers' failure to complete the reform cycle, which entails initiation, implementation, and continuation (Fullan, 1991, cited in Wall 1996).
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