From their point of view the triggers indicated substandard care.
The fact that comparable findings indicating substandard provision of vital ANC services have been repeatedly reported in rural sub-Saharan Africa since the last decade, suggest dormant health systems, an alarming state of inadequate utilization of research findings in these countries and the urgent need for improvement [ 16- 20].
The scanty information on quality of perinatal care indicates widespread substandard care at all levels.
In several instances, the clusters identified in the database indicating effects of substandard or falsified medicines were confirmed by the presence of information on batch withdrawals or regulatory confirmation of product quality problems.
However, our findings of substandard practices despite training indicate the need to revisit the training content as well as the methodology.
Since gulls are an occasional prey of falcons and hawks, results probably indicate the ability of predators to detect substandard individuals in the wild rather than showing an optimal foraging strategy or possible coevolution within a natural predator-prey system.
Hubbard's official Navy service records indicate that "his military performance was, at times, substandard" and he received only four campaign medals rather than twenty-one.
However, his official Navy service records indicate that "his military performance was, at times, substandard", that he was only awarded a handful of campaign medals and that he was never injured or wounded in combat and was never awarded a Purple Heart.
Data that are available indicate a range of urban health hazards and associated health risks: substandard housing, crowding, air pollution, insufficient or contaminated drinking water, inadequate sanitation and solid waste disposal services, vector-borne diseases, industrial waste, increased motor vehicle traffic, stress associated with poverty and unemployment, among others.
Table 3 indicates geographical distribution of substandard and counterfeit products, which suggests higher numbers in Africa and Asia.
