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Other major strength was the fact that the participation level was high and sustained, even without per diems, which is an issue in Burkina Faso (46). How the program might be improved Finally, several suggestions were made for improvements in subsequent years. One respondent pointed out the need to connect with decision-makers at the central level: `This has to go up to the central level, which h
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D or in altered sensorium, consent was obtained from the patient's guardian. Author details 1 Department of General Medicine, Nazareth Hospital, Shillong 793003, Meghalaya, India. 2Department of Community Medicine, Yenepoya Medical College, Yenepoya University, Mangalore 575018, Karnataka, India. 3 Department of Microbiology, Nazareth Hospital, Shillong 793003, Meghalaya, India.Sivarajan et al. In
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