Significance: The most significant barriers to implementation of universal newborn hearing screening programs have been financial, and this study compares the most common protocols currently in use.
Challenges related to program delivery emerged as the most significant barrier to implementation (18 comments).
We have intentionally left GAT-related implications including lessons learned about best practices, suboptimal strategies, and implementation beyond juvenile justice agencies for follow-up studies that reflect squarely on the most significant implications from this implementation.
Capacity in the form of funding and staffing, particularly towards enforcing the Act was the most significant barrier to FCTC implementation: For the time being, what I see [as a barrier to FCTC implementation] is the human resource the staff... the Ministry of Health has limited staff in number and as well as in skill.
"The most significant deficiency in the implementation of the trial was the obtaining of consent," said one finding.
Flexibility is the most significant feature of this implementation.
Landscape conditions, particularly jurisdictional commitments to pursue deliberate reconfigurations of their energy systems towards low-carbon energy sources, emerge as the most significant factor in the implementation of policy reforms in these areas.
The analysis shows that there is a strong agreement that capital and operating costs are the most significant barriers to the implementation of wind diesel systems and that direct project financial incentives, notably production and capital cost incentives designed to reduce these costs are perceived as the most effective way to encourage development.
As a consequence, the use of IMRT without precise localization of the tumor and sensitive structures, at both the planning and delivery stages, and the absence of continuous verification represent the most significant challenges to the implementation of IMRT in routine clinical use.
Yet interviewees across the board saw the absence of dedicated financial resources from national or provincial government as the most significant threat to sustained implementation at scale.
