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We designed a model for HB-VCT appropriate for wider scale-up, and investigated the acceptance of home-based counselling and testing, equity in uptake and negative life events with a cluster-randomized trial.
These advocacy activities had a major role in influencing policy makers to endorse the PPP model for country-wide scale-up.
The world-wide scale-up of ART has decreased the incidence of new HIV infection and reduced AIDS-related deaths substantially [ 3].
A system-wide scale-up of one specific CHW programme for the provision of ART does not seem to be intended.
In Uganda, the two pilot districts offer a potential opportunity for better monitoring and impact long term before country-wide scale-up takes place, provided that national stocks are available and district teams are fully engaged.
Data collected directly from facilities and district offices corresponded with nationally reported data [ 17, 20], confirming that population-wide scale-up of ART, PMTCT and VCT services has been happening in Malawi (2006-08) and Zambia (2004-07).
High rates of case detection were attained without involving all private practitioners in the area, thus making the PPP technically attractive to national programmes in other countries in terms of the feasibility of implementation and wider scale-up.
Wide scaling up of ART in developing countries and early initiation of treatment is likely to change the clinical presentation among TB patients with HIV co-infection to a pattern more similar to that in HIV negative TB patients.
The shared research project aims to identify common lessons from diverse low resource settings and inform wider scale up of task-sharing interventions of sufficient quality to substantially improve the lives of people living with mental disorders in low resource settings.
Key recommendations from the pilots are being taken into consideration for the nation-wide scaling up of the strategy.
The provincial Ministry of Health is directly involved and committed to province-wide scaling up once results are evaluated with an active participation of local school boards, health units and community organizations.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com