Table 3 Recommendations and priorities for future research and development

 1. Appropriate staffing of the program is critical

 1. Investigate ways of localising decision making

 2. Involve residents from the community in decision-making about programs in the community

 2. Conduct cost/benefit analyses

 3. Identify priority outcomes and how they will be evaluated

 3. Identify ideal staff/community ratios

 4. Develop training models of local relevance including teaching local languages

 5. Clarify recruitment priorities in terms of connectedness and culture

 6. Improve flexibility around position descriptions and qualifications