BOOKS OF RtfiDIfGS - PAHO/WHO

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the feasibility and desirability do not justify the implementation
of the next step, all the advantages of the current stage will be
retained. Moreover, with proper forethought and planning, each
of the implementation steps could serve as a backup mode for the
more advanced system sta 's.
It is important to note that the successful implementation of
each step is, to a large extent, dependent on personnel support.
Therefore, improvements in the personnel situation must accompany
any and all changes in systems and procedures.
In future work, detailed study of each of these steps should be
made. Cost-benefit analyses of different means by which each
step could be implemented should be performned. Also, the
scheduling recommendatior.s presented earlier should be extensively
investigated.
More than a year has passed since this study was completed.
The clinic personnel are currently methodically implementing
most if not all of the recommendations delineated, using the
directed step-by-step approach of achieving the ultimate goals
and objectives.