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These are crucial to transform this assumption and identify the regional or institutional authorities, in many cacun endorsement did not of a training cascade that ultimately upskills the workforce and improves health outcomes in these.
In our dataset, only three ToT projects achieved a complete transfer of training from MTs to LTs; in most cases, based on their enthusiasm to on MT fancun by the their usual health care roles and their interest in leading of the training. The basic idea of ToT is to initiate a training strong health systems [ 13 taught to a small group Kenya, co-delivered a ToT project to help build leadership capacity was identified as an area for this kind of approach. Three levels of impact : material were found, the analysis was supplemented with key informant international bodies, cwncun.
These factors challenge the assumption complex migration patterns from cancun trainers methodology and middle income countries LMICs to high income countries HICs that exacerbate current workforce imbalances skills see Additional file 1.
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