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"Talent Has No Boundaries"
The Acronym CLEAR is “Capacity for Leadership Excellence and Research” that embodies the mission and character of our company.  
CLEAR is a cutting-edge consultancy firm whose aim is to build the operational capacity of entities with research activities and health projects in resource limited settings in developing countries especially in Africa.  We specialize in building major systems and institutions in the areas of program set-up and management, clinical laboratory design and management, regulatory compliance and quality assurance, program management, data management and information technology, as well as staff development and training.  The goal is to develop and improve these projects and organizations to the highest possible standard of excellence and compliance to applicable international and local regulations.
The success of CLEAR depends heavily on maximizing the extensive experience and network of the owners in the field of global health and capacity building.  Our company has already established an excellent track record with many professionals, decision-makers, and health institutions in several countries in Africa such as in Cameroon, Congo, Kenya, Mozambique, South Africa, Tanzania, and Uganda; and in Asia such as in India and Cambodia.  
Learn more about our services.
©2011 CLEAR, Inc.  |  7707 Heritage Farm Drive  |  Montgomery Village, MD  20886, USA  |  +1 240.486 2610  |  info@clear-inc.com
Conferences and Events



September 2017

Dr. Sylvie Kwedi Nolna participated in the 4th International Neonatal & Maternal Immunization Symposium (INMIS) September 10-12, 2017 - Brussels (Belgium) where she presented results on a study titled “Factors influencing the performance of routine immunization in urban areas: a comparative case study of two cities in Cameroon: Douala and Yaoundé » that she co authored with Prof. Pierre Ongolo Zogo of the Centre for the Development of Best Practices in Health at the Yaoundé Central Hospital. Follow this link for a Youtube video.

The study aimed to describe the socio-demographic characteristics of non- or incompletely vaccinated children aged 12 to 23 months and to identify the organizational factors associated with the persistent poor performance of routine immunization in Douala and Yaounde. It consisted of a community-based cross-sectional study adopting an explanatory quali-quanti concomitant mixed design in three randomly selected health districts in each city. The study revealed that the lead reasons for non-vaccination included parents/guardians not knowing the consequences of not being vaccinated, the guardian marital status, level of education, and religion, child birth order, attendance to post-natal consultations, guardian valuing vaccination, knowledge of vaccination completeness and vaccine preventable diseases, and beliefs on how detrimental was non-vaccination to child health. Health workers’ bad behavior was a leading organizational factor in both cities as well as low quantity of health personnel in the vaccination services. It was shown that performance of routine immunization services is jeopardized by several factors including individual, socio-cultural and the inadequate organization of health district services in urban areas. Changes are needed in terms of communication for routine child immunization and delivery arrangements to align with care seeking behaviors.