BACKGROUND In rural health and other health service development contexts, there is frustration with a reliance on pilot projects as a means of informing policy and service innovation. There is also an emerging recognition that existing research methods do not draw lessons from the failed sustainability that characterises many of these pilots and demonstration projects. DISCUSSION This article...

We describe the implementation of a pilot project to demonstrate the safety and feasibility of providing PrePex circumcision from a mobile clinic. We analyzed available project diary entries and staff meeting minutes to identify challenges encountered. The main challenges identified were (1) daily time constraints because of setting up procedures, (2) transportation logistics for clients when t...

An ecological pilot project for the control of Triatoma dimidiata allowed a new evaluation four and five years after environmental modifications in the peridomestic areas of 20 households. It was verified that the two groups of houses, 10 case-houses and 10 control-houses, were free of insects after those periods of time. In the first group, the owners started a chicken coop in the backyard and...

This paper gives an overview of research on project flexibility in engineering projects. Project flexibility is viewed from different perspectives. Firstly, the concept of flexibility in projects is discussed. Secondly, the cases against and in favour of flexibility are presented. Finally, a short overview is made to identify under which circumstances and during which part of a project that fle...

In this paper we present a new approach for the planning of an investment project in the field of building construction. The focus is in shaping of the concept that serves to facilitate decision making about investments through providing support to investors’ when they are dealing with a problem selection of a solution for investment project. The concept is based on the combined use of several ...

CONTEXT Diabetes is a chronic long-term disease with an increasing incidence. There is a need to increase access to effective care and to ensure such care is delivered as locally as possible. The geographical spread of NHS Highland Scotland presents additional challenges to ensuring a skilled workforce given education is normally work-based tuition and assessment. The aim of this pilot project ...

THE COST-EFFECTIVENESS OF THE KENTUCKY PILOT PROJECT OF ALLOWING PRIMARY PCI AT HOSPITALS WITHOUT ONSITE CABG

For reliability testing an Energy Expansion Tree (EET) and a companion Energy Function Model (EFM) are proposed and described in this paper. Different from conventional approaches, the EET provides a more comprehensive and objective way to systematically identify external energy factors affecting reliability. The EFM introduces energy loss into a traditional Function Model to identify internal ...

Despite the availability of ICT tools and infrastructures, civil engineers and design consultants still don't take full advantage in their daily activities of the eBusiness scheme which may open the door of the global market to providers of specialized consulting services. This perspective may allow even small consulting offices to get in contact with potential clients located in any part of th...

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