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Whilst this allows us to use various examples from the same article to illustrate observations on different dimensions of governance, at the same time it was sometimes difficult to judge which governance dimension within a particular intervention or situation had had the most significant effect or was the most important aspect.
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"The purpose was to lay the foundation for local democratic governance, but at the same time, the military needed people to communicate with," said Lt. Col. Joe Rice, a former small-town mayor from Colorado who helped create the councils and continues to work with them.
It poses challenges for good governance but is at the same time a source of great strength.
No public service remained untouched in this giant governance experiment while, at the same time, the quality of education was eroded by endless innovations and cuts.
We would like to share our experiences with readers of this journal to stimulate a debate, with the aim of drawing attention to the plight of those engaged in low-risk public health research and evaluation – which must be conducted in line with research governance guidelines – but at the same time, is often done so in the context of scant or no resources.
"You've got to work security, governance, and economics all at the same time, so that they become supportive of one another and eventually become a self-sustaining cycle that ultimately moderates the radical, just as it would anywhere," the senior Defense official said.
It may be considered to broaden this goal to 'strengthening governance systems' in general and to address both the health and the governance aspects of the development agenda at the same time (1, 42).
The new governance and policies increased GDPs, but at the same time resulted in shifting food demands, moving towards more processed, high protein animal products, which can drive increases in grasslands-based livestock production (Chen et al. 2015, 2015).
A health care system in a corrupt environment is weak and unstable, and it will be important for the post-2015 period to find solutions to address both the health and the governance aspects of the development agenda at the same time.
We purposely searched and analysed case studies, as we intended to illustrate, with country examples, the positive and negative influences governance can have on HRH policy formulation and implementation, while at the same time keeping the focus on national governance, as opposed to international or clinical (facility level) governance.
For example, when it invests in China, a company like Apple can reap all the benefits of totalitarianism — streamlined governance, low wages and no labor unrest — at the same time as it opts out of the abuses, restrictions and indignities faced by ordinary Chinese people.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com