In addition, further research is warranted to delineate the most efficient training methods and the most effective means to increase widespread implementation of the most effective interventions.
Before its widespread implementation, the most appropriate setting, the prevalence of proteinuria in that setting, the most appropriate cut-off value to limit maternal and fetal morbidity and mortality, and the further testing and interventions that should follow a positive or negative test result need to be determined, and evidence for its cost effectiveness is needed.
One of the most important challenges to the widespread implementation of CCS is the cost and energy associated with the separation of CO2 from flue gas.
The most significant barriers to the widespread implementation of large-scale renewable energy and low carbon energy strategies are primarily political and not technological.
The most oft-cited barrier to widespread implementation of electronic consultation or integrated eCR systems was a lack of resources.
Essential newborn care and competency-based training in neonatal resuscitation were considered the next most important interventions for more widespread implementation.
LEED certification, the most widespread version of sustainable building since its implementation in the '90s, incorporates low energy and high efficiency features into buildings, like Energy Star appliances and air-filtration systems.
ISO 14001 is the most widespread international standard that supports organizations in the implementation and maintenance of their Environmental Management Systems EMSS) defining a list of requirements to improve environmental performance.
The countries that have managed to promote breastfeeding most successfully, such as Sweden, have strong central leadership and widespread implementation of the Baby-Friendly Hospital Initiative, a WHO/UNICEF certification shown to promote breastfeeding duration and exclusivity.
For most of these challenges, effective solutions are available, but there is lack of widespread implementation.
