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The lack of education and training to accompany implementation was identified as critical and has been identified as a significant barrier to distress screening also [ 8].
When the reasons behind lack of planning were explored, 'non-involvement of district pediatricians in IMCI implementation' was identified as one of the major factors.
Even though there are some written supportive policies, the lack of regulation and monitoring when looking at their implementation was identified as a bottleneck.
Implementation was identified as a key issue.
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Some possible safety barriers required for implementation were identified as a starting point in this process.
Barriers to successful project implementation were identified as pressures on staff, short patient stays and project communication.
Despite the theoretical existence of effective interventions for MNDs, implementation was identified by participants as a key challenge in the Senegalese context.
Based on this research, benefits of integrating a MOOC with classroom based teaching were identified, as well as barriers that can hinder the successful implementation.
During the QI program, some hindering factors to the implementation were identified, such as communication issues between team members, lack of resources and low confidence with the protocol.
Version 4.3.6 of the 52° North implementation of SOS [1] was identified as a suitable platform around which to build "data appliances" for data providers as it supported WaterML 2 reporting of observations.
Although possibly the emphasis was on the psychosocial intervention, rather than the broader CC framework; but lack of time, concerns over supervisory arrangements in routine practice and perceived cost of implementation were identified by all participants as barriers to this.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com