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A multi-country evaluation conducted in 2002 and various countries' experiences with IMCI implementation has demonstrated that many countries lack adequate health system support for IMCI implementation including poor adherence to IMCI guidelines, high turnover among trained staff, inadequate supervision, and insufficient availability of drugs, equipments, and referral facilities (8– 11).
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A few successful implementations have demonstrated that protein 3D structures add to prediction accuracy [ 58, 59].
Despite an uneven and generally low level of implementation, research has demonstrated that HIT has the potential to improve quality of care and patient safety.
The importance of environment has also been supported in guideline implementation research, which has demonstrated that interventions which are embedded in a relevant environment and occur during the flow of care are more likely to succeed [ 7, 8].
After 1 year of implementation, this management system has demonstrated its ability to meet the network's needs [13, 14].
This strategy has shown a considerable improvement and, as a result, the hybrid implementation of the PCG solver has demonstrated a significant speedup compared to the CPU-only implementation.
In turn, the focus on implementation has led to the development of multiple theories and frameworks to guide implementation, 5 7 but no framework has demonstrated widespread results in practice.
The 'Proposed multivariate DSS method' section has demonstrated the implementation results, and finally, in the 'Conclusions' section, the conclusions have been drawn and further research efforts have been mapped out.
However, both versions cover the same methodological steps of development, piloting and evaluation of a complex intervention, and the long-term implementation after the complex intervention has demonstrated its effectiveness.
In conclusion, this detailed evaluation has demonstrated successful implementation of the assessment and referral component of the Newhints intervention with achievement of every key requirement in the conceptual framework.
The study has demonstrated that implementation of policy guidelines for integrating community-based health workers in the health system may not automatically guarantee successful integration at the local or district level, at least at the start of the process.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com