The sixth assumption was a limited community involvement in the design and implementation of RTI interventions, which reduced the likelihood of an effective enforcement of regulatory interventions such as speed limits.
Yet without any real enforcement of their intervention mandate, the 17,000 soldiers look on, observe.
Thus, enforcement of an intervention implies that in the genetic counselling session with the genetic counsellor at least the woman's breast cancer risk group (e.g. low, moderate, high) was communicated.
This perception is line with our anticipated theoretical framework, and reduces the likelihood of an effective enforcement of several regulatory interventions.
Finally, it was considered that governance and accountability levels are perceived by community members as too weak at central and local levels, which also reduced the chances of effective enforcement of potentially useful interventions such as speed limits, seat-belt use, or prevention of alcohol-impaired driving.
Recent evidence of the social return on investment for ThaiHealth actions on road safety showed a 130 times return on investment for funding of interventions of enforcement and prevention.
It is quite likely that a combination of dealing with the root causes and of a sequential combination of interventions (regulatory enforcement, education and peer influence) could be effective.
While we acknowledge that the long-term enforcement of disruptive non-pharmaceutical interventions is not socially feasible, our results suggest that they have a key role to play, slowing the rate of growth of the pandemic until vaccination or antiviral drugs become available.
In addition, we also assessed a fifth intervention, enforcement of a cordon sanitaire, implemented by Liberian authorities.
Implementation and enforcement of regulations for treatment of cattle before sale at markets would also contribute to limiting spread (9, 10 ); Interventions in districts in central Uganda in which convergence is predicted have been slow and incomplete.
