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The more the question of what may have contributed to these differential developments gains importance.
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As these kinds of developments gain momentum, Topol thinks that doctors' appointments will become increasingly rare.
In a resolution of the 65th General Assembly of the UN, it is clearly stated that "the financial and economic crisis... has reversed development gains in many developing countries and threatens to seriously undermine the achievement of the Millennium Development Goals".
These factors could reverse development gains, it says.
But development gains from investment are not always automatic.
It has the potential to erode development gains, undermine economic growth and compound human security challenges.
Aids, malaria, TB and other diseases are reversing decades of development gains and lowering life expectancies.
We reduce our estimate of British Land's development gains on its London office development pipeline from 40p to 15p.
Maybe she'd seen something work – tangible evidence that aid and development gains, however difficult and incremental still do happen.
Businesses and financial markets can affect the sustainability of development gains in both positive and negative ways.
The African Development Bank (AfDB), which contributes funding to the New Alliance, says large-scale agricultural investment will help to scale up development gains made over the past 25 years.
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