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To optimise the impact of group memberships, there is a need to recognise and address contextual obstacles and barriers.
Women of reproductive age dying from NCDs in rural Bangladesh face similar contextual obstacles to accessing health care as women who die from maternal causes.
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Such obstacles could be contextual factors, factors related to the intended adopters or characteristics of the new practice [ 1].
Therefore, we first scrutinise the cost-effectiveness of proposed solutions and then describe the contextual factors which might be obstacles to health policy change towards prevention.
Being a cluster-randomised complex intervention, a process evaluation nested inside the trial was started in order to clarify causal mechanisms and to identify obstacles or other contextual factors contributing to the variation, success, or failure of the interventions [ 25].
Taking for granted that each programme is unique, the contextual variables are probably the greatest obstacle in comparison and consequent transfer of experience.
Previous examination of contextual factors has been limited to perceived obstacles in the physical environment [ 11] and social support [ 11, 13, 14].
We thus seek to implement a MAT-CAT that overcomes these obstacles while retaining the significant contextual advantages conferred by the MAT video animations.
CoD soldiers are now able to mantle over walls, cars and other obstacles without losing speed; on top of that a new contextual lean system lets you look around objects by depressing a single button, while the knee slide facilitates the speedy drop into a prone position or behind a piece of cover.
The article contains a short summary of the design of this project, a review of main indicators regarding ICT (Information and Communication Technologies) in elementary and lower secondary schools, main obstacles and an exploration of the co-variation between obstacles and contextual factors at the country-level.
Contextual measures include home environment items such as type of dwelling, location, and environmental obstacles such as steps or lighting.
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