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In addition, the transportation bureaucracy in India's sprawling democracy — the largest on the planet — is notoriously diffuse and uncoordinated, posing a barrier to effective implementation and maintenance of buses or other methods of mass transit.
Staff turnover was also reported to be a barrier to effective implementation.
This could be a barrier to effective implementation and correct use of the checklist.
This lack of information is a barrier to effective implementation of CVD prevention program in Nigeria and particularly in the rural areas.
Human resource constraint as a barrier to effective implementation of provider-initiated HIV counselling and testing has previously been documented in Uganda [ 40] and needs to be re-emphasised.
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Lack of transport is a serious barrier to effective implementation of the Program and a source of frustration for both Strong Women Workers and Program Coordinators.
However, a major barrier to effective implementation of ecosystem services research is their lack of operationalization for land management and planning.
The objective of this study was to identify barriers to effective implementation of a surgical checklist and to develop a best use strategy.
Sequential introduction of interventions over a span of 6 years, gave us the opportunity to identify key elements of a successful PMTCT program as well as barriers to effective implementation.
[Rehabilitation Physician (aged 41 years); 10 years' experience] Many previous studies have explored barriers to effective implementation of a fall prevention intervention programme, 10 16 17 22 23 especially in high income nations.
Indeed, other studies have shown that a lack of adequate supplies and frequent depletion of necessary stock are major barriers to effective implementation in primary care settings [ 33].
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