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Appropriate mechanisms are built into design to learn from new evidence and implementation experience and adapt project approaches and focus over time.
This finding is not unexpected since the gap between good evidence and implementation is common in the history of obstetric practice.
The participants indicated that the KTP enhanced their understanding of the relationships between evidence and implementation, and motivated them to investigate public health problems in addition to individual patient problems.
They indicated that the project enhanced their understanding of the relationship between evidence and implementation, and broadened their views to include the investigation of public health problems rather than individual patient problems.
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If KT models are expected to explain evidence uptake and implementation, or lack of it, they must be contextualized and take into account the specificity of low income countries for example, the strong influence of donors.
Both the failure of effective public health initiatives to influence public health practice and the lag between evidence generation and implementation represent considerable impediments to population health improvement as it denies or delays community access to effective services [ 3- 5].
Some of the community initiatives introduced in primary care, as well as scientific evidence and associated implementation factors are described.
The understanding of context, evidence and ideas, implementation and impact influenced how the participants considered and rated the options.
To understand how sedation protocols should function optimally, we review the evidence and practical implementation of researched strategies.
In the past, the production of evidence and its implementation into practice has been viewed as a positivistic and linear process [ 10].
In this level-I data-poor environment, strong opinions abound, creating additional obstacles to the generation of higher-level evidence and the implementation of new recommendations.
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