The root causes of passive implementation and campaign-style implementation lie in the low level of applicability of policies in the local contexts and changes in pressure from above for implementation.
Accessibility, affordability, and physical presence of health services have direct impact on health practice and behavior; and are major causes of non-implementation of the knowledge the people have.
Regardless of possible causes, if implementation of iCCM for specific illnesses (like malaria and non-severe pneumonia in ZIMMAPS) leads to increased community demand for the care of other illnesses by the same cadre of healthcare providers, this change has public health implications for the scope of iCCM programs.
Findings also facilitate our understanding of the root causes of inadequate IMCI implementation with unpreparedness for the strategy exhibited by planners (provincial level) and implementers (district level).
Findings from a European COST Action that brought together a large network of more than 100 accessibility researchers and 80 practitioners, from 22 countries, suggest that mainly organizational barriers and lack of institutionalization of accessibility instruments, are the main causes of the lack of implementation of accessibility instruments in the planning practice [4].
If policy-makers are unaware of, or ignore evidence on the root causes of problems in the implementation of interventions, they increase the chances of producing negative outcomes.
A holistic program for controlling cardiovascular risks should be fully discussed with the patient, including evaluation to exclude underlying causes of secondary hypertension, and implementation of lifestyle measures.
A study examining the causes of differences in the implementation of crisis advice showed that among others, the various categories of professionals involved in outbreak control lacked clearly defined measures to monitor the execution of 'key actions' [ 9].
Case A shows such an effect of embeddedness as the 'order of implementation' was caused by formally authorized rules and procedures (e.g., staff agreement) already directed to consolidate the enduring modernization process (initial date 1993).
However, the urgent educational needs of the country caused the implementation of this proposal to be delayed by some decades, and it was not until 1864 that the first "Nursery School" opened by a decree of the Ministry of Public Education and financed with fiscal funds.
