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Applying systems th...
Applying systems thinking to identify enablers and challenges to scale-up interventions for hypertension and diabetes in low-income and middle-income countries : protocol for a longitudinal mixed-methods study
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- Ramani-Chander, Anusha (författare)
- Monash Univ, Sch Clin Sci, Dept Med, Monash Hlth, Clayton, Vic, Australia.
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- Joshi, Rohina (författare)
- George Inst Global Hlth, New Delhi, India.;Univ New South Wales, Sch Populat Hlth, Sydney, NSW, Australia.
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- van Olmen, Josefien (författare)
- Univ Antwerp, Dept Family Hlth & Populat Med, Antwerp, Belgium.
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visa fler...
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- Wouters, Edwin (författare)
- Univ Antwerp, Fac Social Sci, Ctr Populat Family & Hlth, Dept Sociol, Antwerp, Belgium.
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- Delobelle, Peter (författare)
- Univ Cape Town, Chron Dis Initiat Africa, Cape Town, South Africa.;Vrije Univ, Dept Publ Hlth, Brussels, Belgium.
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- Vedanthan, Rajesh (författare)
- NYU Grossman Sch Med, Dept Populat Hlth, New York, NY USA.
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- Miranda, J. Jaime (författare)
- Univ Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Lima, Peru.;Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.
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- Oldenburg, Brian (författare)
- Baker Heart & Diabet Inst, Dept Cardiovasc Res Translat & Implementat, Melbourne, Vic, Australia.;La Trobe Univ, Melbourne, Vic, Australia.
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- Sherwood, Stephen (författare)
- Wageningen Univ, Fdn EkoRural & Knowledge, Technol & Innovat, Wageningen, Netherlands.
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- Rawal, Lal B. (författare)
- Cent Queensland Univ, Coll Sci & Sustainabil, Sch Hlth Med & Appl Sci, Sydney, NSW, Australia.
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- Mash, Robert James (författare)
- Stellenbosch Univ, Div Family Med & Primary Care, Cape Town, South Africa.
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- Irazola, Vilma Edith (författare)
- Inst Clin Effectiveness & Hlth Policy IECS, Dept Chron Dis CESCAS, Buenos Aires, DF, Argentina.
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- Martens, Monika (författare)
- Univ Antwerp, Fac Med & Hlth Sci, Dept Family Med & Populat Hlth, Antwerp, Belgium.;Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium.
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- Lazo-Porras, Maria (författare)
- Univ Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Lima, Peru.
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- Liu, Hueiming (författare)
- Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.
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- Agarwal, Gina (författare)
- McMaster Univ, Dept Family Med, Hamilton, ON, Canada.
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- Waqa, Gade (författare)
- Fiji Natl Univ, Coll Med Nursing & Hlth Sci, C POND, Suva, Fiji.
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- Marcolino, Milena Soriano (författare)
- Univ Fed Minas Gerais, Univ Hosp, Med Sch, Belo Horizonte, MG, Brazil.;Univ Fed Minas Gerais, Univ Hosp, Telehlth Ctr, Belo Horizonte, MG, Brazil.
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- Esandi, Maria Eugenia (författare)
- Natl Acad Med, Epidemiol Res Inst, Buenos Aires, DF, Argentina.
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- Ribeiro, Antonio Luiz Pinho (författare)
- Univ Fed Minas Gerais, Sch Med, Internal Med Dept, Belo Horizonte, MG, Brazil.;Univ Fed Minas Gerais, Hosp Clin, Head Res & Innovat, Belo Horizonte, MG, Brazil.
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- Probandari, Ari (författare)
- Univ Sebalas Maret, Fac Med, Dept Publ Hlth, Saurakarta, Indonesia.
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- Gonzalez-Salazar, Francisco (författare)
- Univ Monterrey, Dept Ciencias Basicas, Div Ciencias Salud, Monterrey, Mexico.
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- Shrestha, Abha (författare)
- Kathmandu Univ, Dept Community Med, Sch Med Sci, Dhulikhel, Nepal.;Dhulikhel Hosp, Dhulikhel, Nepal.
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- Sujarwoto, Sujarwoto (författare)
- Univ Brawijaya, Dept Publ Adm, Malang, Indonesia.
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- Levitt, Naomi (författare)
- Univ Cape Town, Dept Med, Chron Dis Initiat Africa, Cape Town, South Africa.
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- Paredes, Myriam (författare)
- Fac Latinoamer Ciencias Sociales Sede Ecuador FLA, Quito, Ecuador.
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- Sugishita, Tomohiko (författare)
- Tokyo Womens Med Univ, Dept Int Affairs & Trop Med, Tokyo, Japan.
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- Batal, Malek (författare)
- Univ Montreal, Fac Med, Nutr Dept, Montreal, PQ, Canada.;Ctr Publ Hlth Res CReSP, Montreal, PQ, Canada.
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- Li, Yuan (författare)
- Peking Univ Hlth Sci Ctr, Nutr & Lifestyle Program, George Inst Global Hlth, Beijing, Peoples R China.;Univ New South Wales, Fac Med, Sydney, NSW, Australia.
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- Haghparast-Bidgoli, Hassan (författare)
- UCL, Inst Global Hlth, London, England.
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- Naanyu, Violet (författare)
- Moi Univ, Eldoret, Kenya.;AMPATH Res, Eldoret, Kenya.
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- He, Feng J. (författare)
- Queen Mary Univ London, Barts & London Sch Med & Dent, Wolfson Inst Populat Hlth, London, England.
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- Zhang, Puhong (författare)
- Univ New South Wales, Fac Med, Sydney, NSW, Australia.;Peking Univ Hlth Sci Ctr, George Inst Global Heath, Beijing, Peoples R China.
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- Mfinanga, Sayoki Godfrey (författare)
- Muhimbili Ctr, Natl Inst Med Res, Dar Es Salaam, Tanzania.;Univ Liverpool Liverpool Sch Trop Med, Liverpool, Merseyside, England.
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- De Neve, Jan-Walter (författare)
- Heidelberg Univ, Fac Med, Heidelberg Inst Global Hlth, Heidelberg, Germany.;Heidelberg Univ, Univ Hosp, Heidelberg, Germany.
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- Daivadanam, Meena (författare)
- Uppsala universitet,Internationell barnhälsa och nutrition,Karolinska Inst, Dept Global Publ Hlth, Solna, Sweden.
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- Siddiqi, Kamran (författare)
- Univ York, Dept Hlth Sci, York, N Yorkshire, England.
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- Geldsetzer, Pascal (författare)
- Stanford Univ, Dept Med, Div Primary Care & Populat Hlth, Stanford, CA 94305 USA.;Chan Zuckerberg Biohub, San Francisco, CA USA.
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- Klipstein-Grobusch, Kerstin (författare)
- Univ Utrecht, Univ Med Ctr Utrecht, Julius Global Hlth, Utrecht, Netherlands.;Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, Div Epidemiol & Biostat, Johannesburg, South Africa.
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- Huffman, Mark D. (författare)
- Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.;Washington Univ, Cardiovasc Div, St Louis, MO 63110 USA.;Washington Univ, Global Hlth Ctr, St Louis, MO 63110 USA.
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- Webster, Jacqui (författare)
- Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.
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- Ojji, Dike (författare)
- Univ Abuja, Fac Clin Sci, Dept Internal Med, Abuja, Nigeria.;Univ Abuja Teaching Hosp, Abuja, Nigeria.
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- Beratarrechea, Andrea (författare)
- Inst Clin Effectiveness & Hlth Policy, Dept Res Chron Dis, Buenos Aires, DF, Argentina.
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- Tian, Maoyi (författare)
- Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.;Harbin Med Univ, Sch Publ Hlth, Harbin, Peoples R China.
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- Postma, Maarten (författare)
- Univ Groningen, Univ Med Ctr, Dept Hlth Sci, Unit Global Hlth, Groningen, Netherlands.
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- Owolabi, Mayowa O. (författare)
- Univ Ibadan, Dept Med, Ibadan, Nigeria.
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- Birungi, Josephine (författare)
- Med Res Council Uganda Virus Res Inst, Entebbe, Uganda.;London Sch Hyg & Trop Med MRC UVRI & LSHTM, Entebbe, Uganda.;AIDS Support Org TASO, Entebbe, Uganda.
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- Antonietti, Laura (författare)
- Univ Nacl Arturo Jauretche, Hlth Sci Inst, Buenos Aires, DF, Argentina.
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- Ortiz, Zulma (författare)
- Natl Acad Med, Epidemiol Res Inst, Buenos Aires, DF, Argentina.
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- Patel, Anushka (författare)
- Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.
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- Peiris, David (författare)
- Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.
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- Schouw, Darcelle (författare)
- Stellenbosch Univ, Div Family Med & Primary Care, Cape Town, South Africa.
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- Koot, Jaap (författare)
- Univ Groningen, Univ Med Ctr, Dept Hlth Sci, Unit Global Hlth, Groningen, Netherlands.
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- Nakamura, Keiko (författare)
- Tokyo Med & Dent Univ, Dept Global Hlth Entrepreneurship, Div Publ Hlth, Tokyo, Japan.
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- Tampubolon, Gindo (författare)
- Univ Manchester, Global Dev Inst, Manchester, Lancs, England.
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- Thrift, Amanda G. (författare)
- Monash Univ, Sch Clin Sci, Dept Med, Monash Hlth, Clayton, Vic, Australia.
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Monash Univ, Sch Clin Sci, Dept Med, Monash Hlth, Clayton, Vic, Australia George Inst Global Hlth, New Delhi, India.;Univ New South Wales, Sch Populat Hlth, Sydney, NSW, Australia. (creator_code:org_t)
- 2022-04-18
- 2022
- Engelska.
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 12
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Introduction: There is an urgent need to reduce the burden of non-communicable diseases (NCDs), particularly in low-and middle-income countries, where the greatest burden lies. Yet, there is little research concerning the specific issues involved in scaling up NCD interventions targeting low-resource settings. We propose to examine this gap in up to 27 collaborative projects, which were funded by the Global Alliance for Chronic Diseases (GACD) 2019 Scale Up Call, reflecting a total funding investment of approximately US$50 million. These projects represent diverse countries, contexts and adopt varied approaches and study designs to scale-up complex, evidence-based interventions to improve hypertension and diabetes outcomes. A systematic inquiry of these projects will provide necessary scientific insights into the enablers and challenges in the scale up of complex NCD interventions.Methods and analysis: We will apply systems thinking (a holistic approach to analyse the inter-relationship between constituent parts of scaleup interventions and the context in which the interventions are implemented) and adopt a longitudinal mixed-methods study design to explore the planning and early implementation phases of scale up projects. Data will be gathered at three time periods, namely, at planning (T-P), initiation of implementation (T-0) and 1-year postinitiation (T-1). We will extract project-related data from secondary documents at T-P and conduct multistakeholder qualitative interviews to gather data at T-0 and T-1. We will undertake descriptive statistical analysis of T-P data and analyse T-0 and T-1 data using inductive thematic coding. The data extraction tool and interview guides were developed based on a literature review of scale-up frameworks.Ethics and dissemination: The current protocol was approved by the Monash University Human Research Ethics Committee (HREC number 23482). Informed consent will be obtained from all participants. The study findings will be disseminated through peer-reviewed publications and more broadly through the GACD network.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- public health
- protocols & guidelines
- health services administration & management
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Ramani-Chander, ...
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Joshi, Rohina
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van Olmen, Josef ...
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Wouters, Edwin
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Delobelle, Peter
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Vedanthan, Rajes ...
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visa fler...
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Miranda, J. Jaim ...
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Oldenburg, Brian
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Sherwood, Stephe ...
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Rawal, Lal B.
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Mash, Robert Jam ...
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Irazola, Vilma E ...
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Martens, Monika
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Lazo-Porras, Mar ...
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Liu, Hueiming
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Agarwal, Gina
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Waqa, Gade
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Marcolino, Milen ...
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Esandi, Maria Eu ...
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Ribeiro, Antonio ...
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Probandari, Ari
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Gonzalez-Salazar ...
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Shrestha, Abha
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Sujarwoto, Sujar ...
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Levitt, Naomi
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Paredes, Myriam
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Sugishita, Tomoh ...
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Batal, Malek
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Li, Yuan
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Haghparast-Bidgo ...
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Naanyu, Violet
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He, Feng J.
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Zhang, Puhong
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Mfinanga, Sayoki ...
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De Neve, Jan-Wal ...
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Daivadanam, Meen ...
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Siddiqi, Kamran
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Geldsetzer, Pasc ...
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Klipstein-Grobus ...
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Huffman, Mark D.
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Webster, Jacqui
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Ojji, Dike
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Beratarrechea, A ...
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Tian, Maoyi
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Postma, Maarten
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Owolabi, Mayowa ...
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Birungi, Josephi ...
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Antonietti, Laur ...
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Ortiz, Zulma
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Patel, Anushka
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Peiris, David
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Schouw, Darcelle
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Koot, Jaap
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Nakamura, Keiko
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Tampubolon, Gind ...
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Thrift, Amanda G ...
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