The project requires "a very attuned sense of local culture, local ability and local skills," Mr. van Zyl says.
In the case of New York City, student need is high, as is the local ability to pay, as measured by the State's Combined Wealth Ratio.
"It's absolutely heartbreaking and it's the lack of any local ability to look at this humanely that worries me," he adds.
American forces have bombed Islamist fighters in southern Somalia, and Russia favours knocking out pirate coastal bases; neither action promises stability.The absence of an effective state in Somalia means there is no local ability to police national waters.
The governor and his staff, and several education advocates, said their biggest gain was, in the words of Paul Francis, the state budget director, "implementing a permanent foundation formula that distributes aid based on a district's educational needs and local ability to support education".
Specifically, local ability of the networks to recover non-linear characteristics in dependence on local smoothness of the underlying non-linear function and the input probability density is discussed.
Looking forward UNICEF is also working to strengthen the local ability to survive future disasters.
The problem is that these depend on local ability to pay, which is obviously lower in rural areas.
The triggers were discussed and evaluated based on their clinical relevance (i.e., trigger face validity or pointing at high-risk/high-volume AEs) and utility (i.e., usefulness for quality improvement and local ability to act on the results).
Unless there is local "ownership" of the project and the process of change, local commitment to solve the inevitable problems that arise, local expertise to train and motivate the people in the front line of action, and local ability to assemble appropriate resources and support, EHR implementation is unlikely to succeed.
Observing "the locals' ability to rally against the sheer weight of the city around them," this stranger takes home something of value.
