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Banking industry representatives, who say the rules will lead them to curtail lending, have been able to water down the rules or slow their implementation in many countries.
Their recommendation for Xpert MTB/RIF to replace microscopy in HIV-positive patients, patients suspected of MDR-TB, and those suspected of TB meningitis follows its successful implementation in many countries [ 31, 32].
Lack of leadership, historical structural and managerial factors inherited from vertical TB and HIV programmes, and lack of community participation in collaborative TB and HIV activities are determinants of poor implementation in many countries of sub-Saharan Africa, including South Africa [ 8, 10, 11, 20, 21].
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OECD countries have agreed reasonably strong guidelines for combating money laundering, but implementation is feeble in many countries.Some progress is being made.
Pioneering work is based on experiences of the actual implementation of programmes in many countries in real clinical and service settings [ 39- 41].
In view of the difficulties involved in the implementation of regulations in many countries, it thus seems reasonable to re-evaluate the role of [modern] chemotherapy as a possible alternative to culling.
With increase of energy costs and implementation of carbon tax in many countries, a cost-effective mine ventilation system has become highly desirable in underground mine operations.
In spite of good evidence of IPT uses and the global recommendation as part of standard care for all HIV infected individuals after ruling out active TB, it was noted that the coverage and implementation had been slow in many countries including Ethiopia [ 7, 9, 18].
Moreover, the exclusion of childhood hearing impairment in current global health priorities may further delay the implementation of the WHA resolution in many countries where national health policies are tailored to reflect on-going global health initiatives which unfortunately are not yet geared towards early childhood development.
The growth in this type of research is a salutary trend, as in many countries the implementation of many if not most educational interventions still goes unevaluated.
Although successful standards and labels have been launched in many Countries, their implementation does not have a unique structure, the same energy policy framework and citizens awareness.
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