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However, the measurement of health-related indicators is challenging.
24 Although comparison of the two indicators is challenging, the increased hand contamination among girls in contrast to this finding suggests that perhaps only a fraction of diarrhea and consequent absenteeism may be attributable to hand contamination and that patterns of school absence may relate in part to the value placed on latrines and handwashing facilities as amenities.
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Establishing the adequacy of fluid intake based on physiological indicators of hydration is challenging, because there are multiple biological indicators of hydration in average adults in free-living conditions, each sensitive to a different aspect of hydration.
In practice, identifying appropriate datasets that meet the criteria of an efficient environmental indicator [25] is challenging because of issues such as lack of consistent indicator-evaluation frameworks and institutional commitments for regular data collection [26].
Generating a robust indicator of PCCRC rates is challenging.
However, effective implementation is challenging and HIV indicators among refugees in post-acute and chronic humanitarian emergency settings are often poor [ 5, 8].
It is challenging to devise generic indicators for monitoring and evaluating capacity building since each project is unique [ 28].
However implementation of quality indicator tools in routine mental health care in Europe is challenging.
Current stroke QI programs are often highly variable and poorly coordinated, rely on differing definitions of key data elements and/or indicators, and are challenging to implement and sustain in resource-constrained healthcare environments.
As opposed to large ER store signals in rods, direct Ca2+ release with fluorescent indicator dyes has been challenging to measure in cone inner segments, due to powerful Ca2+ extrusion system apposed to ER release sites [6].
The assumption that different indicators can be used as proxies for the same phenomenon is challenged by the results of studies that examine correlations between different SES indicators.
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