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By contrast, Latin America and the Caribbean have failed to impact cervical cancer mortality rates in spite of the implementation of universal screening [ 2].
In spite of the implementation strategy, the results show that there still is a lack of awareness in adult mental health services that their clients may have children and that there is still barriers to overcome [ 17, 26].
The proportion of out-of-pocket expenses has continued to rise in spite of the implementation of SUS, from 9% in 1981 to 15% in 2003 and 19% in 2008 [ 5].
This is in spite of the implementation of a European Directive in December 2009 that was approved in Italy, which made informed consent mandatory for all types of vaccination, for all citizens.
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In spite of the implementations of several strategies, tuberculosis (TB) is overwhelmingly a serious global public health problem causing millions of infections and deaths every year.
However, in spite of the development and implementation of cultural competence training programs, little is known about the ways cultural competence manifests itself in medical encounters.
In spite of the benefits of the ACEP Clinical Policies, implementation of these clinical practice guidelines into physician practice continues to be a challenge.
In spite of the importance of referral behavior for implementation of effective interventions only few studies evaluated the effect of implementation strategies on physicians' outpatient referral behavior [ 25].
"The teams also had to persist during the 100-day implementation period - in spite of the difficulties they encountered.
In spite of the obstacles, experiences in local planning and implementation of health care services successful, partially successful, and even ultimately unsuccessful suggest that alternatives to inefficient, centralized services may represent at least a partial solution that not only can successfully address pressing health problems, but also empower local populations.
In spite of the consensus and positive feedback, it is expected that the implementation of this form will be complex and difficult given privacy laws and the various institutional policies that govern the management of personal information [ 46].
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in protest of the implementation
in view of the implementation
in respect of the implementation
in favor of the implementation
in charge of the implementation
in spite of the results
in spite of the result
in spite of the actions
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com