Aspiration of subglottic secretions is recommended by the American Thoracic Society, for the prevention of ventilator-associated pneumonia (VAP) [ 1], but has a poor implementation rate in some countries [ 2].
In the Philippines, the combination of extreme weather conditions, its geological make-up, increasing population in hazard-prone areas, high poverty rate, poor implementation of safety measures, and degradation of forests and coastal resources increases children's vulnerability to disaster and climate risks.
We conclude that our intervention was ineffective at reducing rates of childhood anaemia because MNP itself was inefficacious in our population, rather than poor implementation of or adherence to the planned intervention.
This is critical considering the fact that Uganda has one of the highest TB default rate in the world of 10% [ 25], high HIV prevalence of 7.3% [ 27], the poor implementation of TBIC measures is a cause for concern.
Race to the Top had good goals, but poor implementation.
All of the failures, he contends, have been the result of poor implementation or marketing.
While documentation was generally weak, the information provided … points to poor implementation".
"We have seen poor implementation of policy and a lack of a coherent, strategic vision".
The most obvious is advertising, although David Cohn acknowledges that a poor implementation could swiftly kill the app.
This policy has been in place since 1998, but poor implementation has turned a good idea into a sham.
