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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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He had already made his mark, if not his fortune, as an artist who preferred to paint epic, historical scenes but who often resorted to completing commissioned portraits of prominent figures as a way of making money