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Although our monitoring system has national coverage and as such provides key data on infectious diseases in PDU we identify important weaknesses that need to be overcome to improve their relevance for public health.
But this has masked some important weaknesses that Lula did not fix, and may even have exacerbated.Mr Serra likes to say that Brazil holds three negative world records: it has the highest interest rates in the world, the heaviest tax burden of any emerging country and one of the lowest rates of public investment.
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Another factor is language – thus, the relative scarcity of representation from non-English speaking countries is an important weakness that can and should be addressed.
It can be shown that the methodology proposed by the guidelines has important weaknesses and that denunciation of traditional methods is not appropriate.
In the electricity sector, they are stagnating at the stage of demonstration projects because of two important system weaknesses that counteract demand for storage.
First, the most important weakness is that it was a case series including small number of patients without control group.
An important weakness was that attendance data on participants were not collected by some of the instructors.
However, a potentially important weakness is that stickers provided may lack rewarding or reinforcing properties for some subjects.
An important weakness is that we could not match the HRCS categories "Other" and "Generic Health Relevance" with the disease-specific categories of the GBD.
Thus, one important weakness is that the accounting control system is not set up for fixed-rate reimbursement, and discussions are on-going to return to a system based on real expenses, as the actual costs for births are less than the fixed-rate reimbursement.
Our appraisal of the CHW programmes in Uganda, Malawi and Ethiopia shows that some lessons seem to have been learnt from past experiences but that others have been neglected and that important weaknesses remain.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com