This could affect service delivery if not addressed, as studies on similar programmes such as the Ethiopian Health Extension Workers [ 12, 13] and Lady Health Worker program in Pakistan [ 7] suggest that inability to regularly pay remuneration emerges as an impediment to implementation of initiatives that utilise community-based health workers' services [ 26].
It produced outcomes that have been suggested as important features of deliberative processes including the contextualisation of proposed interventions, identified relevant clinical, social and political influences, conferred credibility, and identified impediments to implementation.
Moreover, appraisal with GLIA allowed us to itemize specific obstacles, thereby clarifying particular impediments to implementation in contrast to the global subjective evaluation performed in Step 1.
Another major impediment to implementation is that scientists are generally not well informed about the required steps from initial discovery to translation into a clinically useful assay.
"We've looked hard at the impediments to successful implementation of the plan," Admiral Bruner, the commander of Submarine Group 10, based at Kings Bay, wrote when the policy was changed.
Surgical residency has its own unique social structure, and we hypothesized that challenges to this would provide impediments to successful implementation of duty hours reform.
In interviews I have done over the last several weeks, mayors have consistently identified either -- and often both -- congressional politics and state politics as serious impediments to quick implementation of the stimulus package.
There do not appear to be any major technical impediments to the implementation of the system proposed in this paper.
It also supports the notion that psychological barriers, which are mainly related to the strictness of the diabetes regimen and are responsive to educational techniques, are relevant impediments to the implementation of diabetes care [ 17, 18].
