My presentation is based on a study that examined the influence of implementation process on the outcomes of PMR programmes within the context of scaling up in a district level setting in Kenya.
The sites were a MoH-led program in Kwale district, Two NGO-led program-one led by Merlin in conjunction with the MoH in Kisii Central district and the other led by AMREF/USAID in Bungoma district
In terms of change in retailer knowledge and practices
To build these relationships has implications over time- to manage relationships
-Spell out roles and responsibilities- addresses potential sources of tension. For example in one site there was an established MoU at the onset that spelled out roles and responsibilities The consequences- things happening on time As the quote illustrate are not in place plans/activities are not implemented
Flexible financial process allows adaptation of the program at local levels addressing local needs – consequences avoiding tensions