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Challenges during the development of the revised MTP included difficulties in managing people in the working group, resistance from some health workers, divergence of implementation strategy, language difficulties, and uncertainty about the government's capacity to implement the change.
So why are so many still waiting to implement the change?
The city of nearly 5,000 is following state code to implement the change.
And three, how would you implement the change if the American people gave you permission?
Provinces are allowed to implement the change on their own timetable, but they have been urged to do so quickly.
Critics of the government have expressed doubts as to whether Malaysia's slow-moving bureaucracy will actually implement the change.
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The CMA estimates that the industry will incur costs of £75m– £110m to implement the changes.
GTR said it would start to implement the changes from 21 August.
"All they are prepared to do is negotiate how to implement the changes they have decided.
Ainsworth said the government would implement the changes as quickly as possible, although some would require secondary legislation.
Greece has been slow to implement the changes demanded by the troika.
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