The logistic difficulties and resource implications associated with each additional language would not have justified including even one more (other key languages: Somali [6.3%], Tigrinya [5.9%], Sidamo [4.8%], Wolaytta [2.2%], Gurage [2.0%] and Afar [1.7%] [29]).
They sometimes reported a slight increase in consultation time or feeling disturbed by the question, but mostly judged it as valuable, shedding additional light on the patients' situation and making it easier to discuss difficulties and resources.
Yet case-finding is not without its problems, with well-recognised barriers including lack of time, cultural difficulties and inadequate resources and practitioner skills.
Because of logistic difficulties and limited resources, individual-level measurements of indoor and outdoor air pollution exposures and modeled air pollution exposures were not available.
Not only does this necessitate preparation of a quantified standard for each target under investigation, the technical difficulties and extensive resources required for standard curve construction present considerable challenges for conducting absolute quantification, even for a modest number of targets.
We did not obtain serial NOx measurements in patients (due to logistical difficulties and limited resources) which would have enabled us to predict the earliest point at which NOX levels would start to differ in those with severe disease, thus establishing the approximate earliest point it would be useful as a predictive marker.
Studies show that male survivors also grapple with feelings of isolation, inadequacy and vulnerability, concerns about their sexuality and masculinity, and difficulties finding resources and support.
These include Maine, where technical and resource difficulties hamper implementation; New Hampshire, where the new program seems sharply circumscribed; Missouri, where the state's emphasis on long-range planning leads to tension with the EPA; and New Jersey, which had not traditionally looked to the federal agency for guidance or help.
Previous analyses of national health promotion programs have highlighted the difficulties associated with political commitment and resource constraints [ 53, 55].
According to frontline HWs interviewed, feelings of poor support from government including difficulties accessing funds and resources was often a problem.
