They included questions on the availability and implementation of the reasonable adjustments needed by people with intellectual disabilities as identified in the literature (see online supplementary appendix 3).
Tunisia is an interesting case study since it has witnessed extensive financial reforms in the beginning of 1990s such as implementation of the structural adjustment programs, trade liberalization and the ratification of many accords and trade agreements (Hamdi 2013).
The key to providing safe healthcare for people with intellectual disabilities is the implementation of reasonable adjustments, which requires that (a) the patient is identified within the healthcare system as having intellectual disabilities, and (b) reasonable adjustments are made to the patient's healthcare delivery [ 31].
Stage II involved examining the implementation of reasonable adjustments at ward/clinic level.
This led to good practice being dependent on individual staff members' attitudes and understanding, and the implementation of reasonable adjustments was patchy.
These tended to focus on the design and implementation of the RBCT, in particular the adjustments that the ISG had made to adapt to policy, welfare and practical requirements, the curtailment of the 'reactive' condition, and the effects of direct action on field operations.
For countries in transition, be it from centrally planned to market economies, because of the implementation of structural adjustment policies or simply as a part of the normal process of economic development, the role of government is especially difficult.
The uneven implementation of fiscal adjustments and reforms, a worsening global macroeconomic environment, and political instability led to the complete loss of market access and intensified capital flight by the second quarter of 2001.
Then, by using the data from a wind tunnel test and implementation of statistical adjustment, the engineering model was modified and an engineering-statistical model was obtained.
Unfortunately, the implementation of structural adjustment measures during the 1995-2000 periodidid not allow any room for such support.
