Like in Haiti, many of them demanded that the incapacitated government cooperate with their agendas, including privatization and centralization of services in the more urban areas.
This centralization of services may impose restrictions on the availability and accessibility of alarygneal speech services to those living outside this area.
This suggests that the provision of infrastructure on a geographically broad basis tends to induce self-reinforcing effects whose impact could be dampened under centralization of services.
Although the proposal did not suggest closing down any acute hospitals, it was clear to all that the outcome of the process could lead to the centralization of healthcare services and longer travel distances, as not all hospitals in the future would supply all services.
"The problems the faculty had were not with his efforts to centralize, but his failure to seek counsel and advice prior to making some major academic decisions, whether they were the hiring and firing of provosts or the centralization of fundamental services like admissions and advising".
"So I think that Facebook's focus on advertising as their revenue model and their focus on centralization of the services certainly creates an opportunity for competition with them and we intend to be in that space".
However, the mergers differed, particularly regarding the extent of centralization of acute services, and the amount of change activities.
It raises the question of whether centralization of maternity services in rural referral centres is ultimately an effective strategy for achieving best perinatal outcomes for rural families.
There was also a decline in 30-day mortality after surgery for pancreatic cancer, likely attributable to increasing centralization of cancer services and a multidisciplinary approach to cancer treatment.
This is one example in which centralization of PMTCT services may not have worked well: authors reported that women may have increasingly found it more difficult to come back to the hospital because of long distances in an area where there was no public transport (women had to either walk or use bicycles) and would, therefore, have benefited from decentralized services at local clinics.
