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Descentralización administrativa
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1061“…The factors hindering the trial implementation included poor coordination between midwives and family planning officers, broader policy changes implemented by the provincial government during the trial, the decentralization of county governance, and the lack of government funding for maternal care. …”
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1062por Mushi, Hildegalda P, Mullei, Kethi, Macha, Janet, Wafula, Frank, Borghi, Josephine, Goodman, Catherine, Gilson, Lucy“…In Kenya, limited financial decentralization meant that district managers had to rely on donors for financial support. …”
Publicado 2011
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1063A study of patient attitudes towards decentralisation of HIV care in an urban clinic in South Africapor Mukora, Rachel, Charalambous, Salome, Dahab, Maysoon, Hamilton, Robin, Karstaedt, Alan“…Many of the public-sector HIV clinics operating within tertiary facilities, that were the first to provide ART in the country, have reached maximum patient capacity. Decentralization or "down-referral" (wherein ART patients deemed stable on therapy are referred to their closest Primary Health Clinics (PHCs) for treatment follow-up) is being used as a possible alternative of ART delivery care. …”
Publicado 2011
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1064“…If carefully geared, the ongoing health sector reforms centered on sector-wide approaches, decentralization, communitization and involvement of non-state actors can substantially control existing inequalities through an optimally packaged equitable policy. …”
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1065“…However, there are few prevalence data available from Aceh Province because of the long-standing separatist conflict and decentralization of the public health system. The Mentor Initiative, which specializes in malaria control in humanitarian emergencies, was one of the non-governmental organizations to respond to the 2004 Indian Ocean tsunami in Aceh. …”
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1066por Esteves, Roberto JF“…Among the internal characteristics: underfunding, unbridled decentralization and inequitable access to care seem to have been the main constraints. …”
Publicado 2012
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1067por Peeters Grietens, Koen, Toomer, Elizabeth, Um Boock, Alphonse, Hausmann-Muela, Susanna, Peeters, Hans, Kanobana, Kirezi, Gryseels, Charlotte, Ribera, Joan Muela“…While more efficacious treatment in the biomedical sector is likely to reduce perceived mystical involvement in the disease, additional decentralization could constitute a key element to reduce delay and increase adherence to biomedical treatment.…”
Publicado 2012
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1068por Shayo, Elizabeth H, Norheim, Ole F, Mboera, Leonard E G, Byskov, Jens, Maluka, Stephen, Kamuzora, Peter, Blystad, Astrid“…In Tanzania, the policy of decentralization and the health sector reform place an emphasis on community participation in making decisions in health care. …”
Publicado 2012
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1069por Cunningham, Frances C, Ranmuthugala, Geetha, Westbrook, Johanna I, Braithwaite, Jeffrey“…BACKGROUND: In the 21(st) century, government and industry are supplementing hierarchical, bureaucratic forms of organization with network forms, compatible with principles of devolved governance and decentralization of services. Clinical networks are employed as a key health policy approach to engage clinicians in improving patient care in Australia. …”
Publicado 2012
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1070por Bishnu, Bipra, Bhaduri, Sudipto, Kumar, Ajay M. V., Click, Eleanor S., Chadha, Vineet Kumar, Satyanarayana, Srinath, Nair, Sreenivas Achutan, Gupta, Devesh, Ahmed, Quazi T., Sarkar, Silajit, Paul, Durba, Dewan, Puneet“…Comprehensive strategies to change providers’ beliefs and practices, decentralization of HIV testing to all TB care centers, and improved HIV test kit supply chain management may increase the proportion of patients with TB who are tested for HIV.…”
Publicado 2013
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1071por Ruano, Ana Lorena“…The process of reconstructing the country's social fabric started with the signing of the peace agreements of 1996, and continued with the passing of the 2002 legal framework designed to promote decentralization through social participation. Today, Guatemala is a post-war society that is trying to foster participation in a context full of challenges for the population and for the institutions that promote it. …”
Publicado 2013
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1072por Rongey, Catherine, Shen, Hui, Hamilton, Nathan, Backus, Lisa I., Asch, Steve M., Knight, Sara“…The VHA's efforts to improve specialty care access, rural patient behavior and decentralization of HCV therapy beyond specialty providers may explain this contradiction. …”
Publicado 2013
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1073por Mesquita Ramirez, Mirta Noemi, Godoy, Laura Evangelina, Alvarez Barrientos, Elizabeth“…In developing countries, a lack of decentralization of perinatal care leads to many high-risk births occurring in facilities that do not have NICU, leading to admission to a PICU. …”
Publicado 2014
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1074“…CONCLUSIONS: The proposed decentralization of HIV care will mitigate concerns about distance and transport costs but is likely to be insufficient to ensure children's sustained retention. …”
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1075“…BACKGROUND: In line with the International Health Regulations (IHR 2005), the Morocco health surveillance system has been reinforced via infrastructure strengthening and decentralization in its regions. To plan for personnel capacity reinforcement actions, a national workforce needs assessment was conducted by the National Epidemiological Surveillance Service and the World Health Organization. …”
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1076por van Dijk, Janneke H., Moss, William J., Hamangaba, Francis, Munsanje, Bornface, Sutcliffe, Catherine G.“…BACKGROUND: Travel time and distance are barriers to care for HIV-infected children in rural sub-Saharan Africa. Decentralization of care is one strategy to scale-up access to antiretroviral therapy (ART), but few programs have been evaluated. …”
Publicado 2014
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1077“…This study illustrated that the present integrated processes could be an ideal approach for promoting a sustainable decentralization, however, Phragmites sp. would be more efficient rather than Typha sp.…”
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1078por Maponga, Brian Abel, Chirundu, Daniel, Gombe, Notion Tafara, Tshimanga, Mufuta, Bangure, Donewell, Takundwa, Lucia“…CONCLUSION: Significant delay and barriers to ART initiation were identified. Decentralization of ART initiation should be expedited. …”
Publicado 2015
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1079por Hartley, Stephen W., Coon, Steven L., Savastano, Luis E., Mullikin, James C., Fu, Cong, Klein, David C.“…The night/day changes in expression were almost completely eliminated by neonatal removal (SCGX) or decentralization (DCN) of the superior cervical ganglia (SCG), which innervate the pineal gland. …”
Publicado 2015
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1080por Bwana, Priska, Vojnov, Lara, Adhiambo, Maureen, Akinyi, Catherine, Mwende, Joy, Prescott, Marta, Mwau, Matilu“…The BD FACSPresto is a technology that can allow for greater decentralization and wider access to CD4+ T cell testing and ART.…”
Publicado 2015
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