Barriers to optimal treatment include underdiagnosis, lack of recognition as a serious condition and as a risk factor for stroke, limited access to care, inadequate implementation of guidelines, and poor adherence to treatment.
Similar to our findings, they reported barriers to IPV screening that included time constraints, unpreparedness to screen for IPV and discuss the issue comfortably and thoroughly, lack of clarity about implementation of screening and inadequate referral resources [ 5, 7].
The most commonly mentioned factors in poor implementation of guidelines include organizational factors, inadequate perception of the patient's global risk, a clinical inertia resulting in inadequate up titration of therapy when the target is not reached, and poor patient adherence to chronic treatments related to polypharmacy (19– 219.
Weak management and absent accountability relationships lead to corruption, lack of motivation, absenteeism, poor planning, and inadequate implementation of health services and policies [ 6].
Poor access to and quality of antenatal care services, weak knowledge and skills of health workers on neonatal care and resuscitation, poor infrastructure of health institutions and inadequate implementation of national protocols are among the factors that contribute to the current levels of neonatal mortality.
There should also be a clear plan for immediate reimposition of crippling sanctions in the event of inadequate Iranian implementation of an agreement.
Findings also facilitate our understanding of the root causes of inadequate IMCI implementation with unpreparedness for the strategy exhibited by planners (provincial level) and implementers (district level).
But the diversified purposes of a signature in workflow makes a straightforward implementation of digital signature schemes inadequate.
The report also cited Beijing's "extremely limited tolerance of public dissent aimed at the government, fear of unrest and the limited scope or inadequate implementation of laws protecting basic freedoms".
However, enforcement and implementation of laws remains very inadequate due to limited human and financial resources and insufficient dissemination and capacity building activities to enhance awareness, knowledge and understanding of new legal provisions among professionals and communities.
There is widespread resentment in the south towards the north's mismanagement of the economy; alleged bias towards northerners in business contracts and the allocation of land in the south; widespread corruption; and inadequate implementation of the rule of law.
