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Despite the country's many infrastructural shortcomings, 70 percent of respondents said that skills were the biggest challenge to performing quality surgery.
In Kolkata a mere 2,549% of income and 27 permits are needed, but they take 258 days to procure.Then there are India's infrastructural shortcomings.
Challenges associated with infrastructural shortcomings were ubiquitous, even before NIMART roll-out began, but were often compounded as clinics began dealing with increasing numbers of patients on ART.
However, recruitment challenges due to infrastructural shortcomings or cultural and religious beliefs can lead to significant delays, which may negatively affect study time lines and expectations of funding agencies.
Thus, although infrastructural shortcomings threatened to undermine NIMART success at many sites, some facility managers demonstrated remarkable innovation, adapting integration models to overcome staffing and space constraints while minimising disruption to existing services.
In addition, due to the wide disparities between and within states, which are often caused by varying policies and programs, health infrastructural shortcomings and governance challenges, analysis of inequities in maternal health care need to be undertaken at the state and district level.
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The vast majority pointed to infrastructural and technological shortcomings.
However, while Tanzanian workers flagged similar shortcomings, there was also a pervasive fatalistic acceptance of infrastructural limitations.
However, this service has faced infrastructural problems such as traffic congestion, narrow roads, as well as lack of human resources and shortcomings in command and control systems; all are factors that have been observed in many other developing countries [2, 15].
Shortcomings in the delivery of basic public services, in tandem with a failure to execute needed infrastructural projects at municipal levels and the fact that government spending has been concentrated on the capital, Santo Domingo, have provoked daily demonstrations in several cities.
Infrastructural surveillance is another matter.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com