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Because of the complexity of the change, the Organization experienced a number of implementation problems related to the software and procedures.
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Some implementation problems relate to the shortage of and expertise among personnel.
Because of the complexity of the change, the Organization experienced implementation problems relating to software and procedures, which are being systematically addressed.
Management issues impeding treatment protocol implementation; Centralization of procurement and the use of trade name Coartem® impeding protocol implementation; Problems relating to prior prescribing behaviour habits; Problems of adherence to the treatment protocol by foreign health workers; Lack of consideration of private health facilities in the implementation of the treatment protocol.
Another implementation problem relates to the need to respect residents' responsibility and self-determination.
Bossert and Beauvais [ 13] have indicated that the Ministry of Health at the Philippines was inadequately consulted at the time of the design and initiation of the decentralisation reforms, a phenomenon that led to a number of implementation problems related (but not limited) to the management of human resources.
One recommendation for addressing this challenge in the future is to establish a national public health emergency incident command center to coordinate and communicate policies, strategies, and guidance related to an emergency and to monitor their execution and facilitate feedback to concerned parties, particularly on problems related to implementation.
These strategies proved to be effective in identifying problems related to implementation, clarifying the intervention protocol, and developing suggestions for improving fidelity of intervention implementation.
Firstly, a classical approach is briefly revisited and problems related to implementation complexity are discussed.
Several problems related to implementation and optimization process have been described in the paper.
Current problems related to implementation decisions concerning wind power schemes are an example to those who will be faced by other renewable power plants, notably biomass.
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