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. 2024 Aug 2;39(9):956–969. doi: 10.1093/heapol/czae070

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© The Author(s) 2024. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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Organogram and breakdown of shift system structure demonstrating the vertical EMS hierarchy contrasted with the horizontal network of the intented Phillipi Project structure. — Intended PP organization within EMS hierarchy and desired community network