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Higher values on the scale indicate poorer air quality and increased health risks

When reflecting on PAL implementation, including the smoking cessation elements, health workers identified the limited long-term impact of PAL training and lack of monitoring and supervision conducted: Initially we did well (with PAL) because there was good supervision but later it got lost because there was no review. (phase 1: health worker focus group, PHCC 1) The researchers often noted how, without their presence as a constant reminder, few staff would have implemented the intervention

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