However, some challenges have been noted and endeavors have been made to ferret out the effective strategies for cross-cultural collaborative learning.
These challenges have been noted more widely in the decentralization and community accountability literature.
In addition, psychosocial factors, such as increased stress levels and emotional challenges, have been noted in adolescents with TMDs [ 33].
Similar challenges have been noted elsewhere [ 28, 29] among health clinic interventions in low and middle income countries.
While numerous implementation challenges have been noted, PITC has succeeded in increasing the number of people tested for HIV and identifying previously undiagnosed cases [ 22, 26, 27].
The UDLT has been in use now for 10 years, and though it has been noted to have achieved some of the intended objectives, a number of challenges have been noted [ 20, 21].
The challenges we experienced in translating the SRQ-20 to Luganda are not unique; similar challenges have been noted in previous attempts to translate Western-developed instruments into other languages for use in other cultural settings.
This persistent challenge with sharing has been noted [ 13, 33], and consequently some have provided monthly food baskets for the entire household [ 13, 14].
The analysis of the metagenomic database to assign ancient DNA sequences to bacterial classes and species was still a significant challenge, and it has been noted that the analysis of human gut bacteria using shotgun metagenomic approaches yielded lower diversity estimates than those based on amplicon sequencing of the 16S rRNA gene (Qin et al. 2010).
The use of 'muddling through' by observing how things were carried out by carers or community staff, seeking help from family or friends and finding their own solutions to challenges at home was reported and has been noted in other studies.
