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The main limitation of DA expansion is related with the enormous human resources investment these techniques demand.
Of the 36 papers included, the majority were from high-income contexts with 11 from low- and middle-income countries, of which 10 were from African countries experiencing enormous human resources in health challenges.
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"It would be tragic for this world to ignore this enormous human resource called women," she warns.
"It would be tragic for this world to ignore this enormous human resource called women," she warned.
"We have enormous challenges: Human resource; you see that health care workers refuse postings to peripheral health centres.
The better known problems, without solutions since at least 40 years, are the final safe storage of the accumulated highly radioactive nuclear waste, that uranium itself is a very limited and non renewable energy resource and that enormous amounts of human resources, urgently needed to find a still unknown path towards a low energy future, are blocked by useless research on fusion energy.
Full-scale implementation of pharmaceutical interventions that requires enormous financial and human resources may not be the best use of limited resources in developing countries.
"It is an enormous change," said Gary Rich, a former human resources executive and founder of Rich Leadership, an executive coaching firm.
Given the enormous shortage of skilled mental health human resources in Africa and the great inequities in their distribution (6), the obvious question that emerges is whether traditional healers may play a role in the formal mental health care system alongside biomedical providers.
Despite their different methodological approaches, both experiences show that countries had to make enormous efforts to increase the amount of human resources to match requirements.
The single largest barrier to scaling up efficacious treatments for mental disorders is the enormous scarcity and inequality in the distribution of skilled human resources in low-resource settings.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com