Dear friends, find attached the electronic version of the River and Stairs diagram. We can comment on this or share questions we still have. It's a very wide river so lots of potential for learning within Guyana!

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Hi Gaston, 

So grateful for this River and Stairs diagram. More so as it is an e-version and I could not have created this from scratch. 

I am sure this will help me when we are dealing with many communities using the competence process on the same practices, as I am doing now in Hypertension and NCD in Wayanad District of Kerala.  

So, thanking you once again. 

Rafique

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