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For independent variables, the sufficient resources factor encompassed four items (α = 0.63 in Afghanistan; α = 0.59 in Malawi): enough health-care providers, enough support staff, enough drugs and supplies and adequate equipment.
Further, we excluded scales which did not strictly measure a characteristic of the job (such as work-home interference) or loaded negatively on a positive factor (such as social stressors on the social resources factor).
For primary health care pharmaceutical expenditure per health facility, the selected log-linear model (Model 4) comprised of two health care resources factor variables (PERCHCIV, PERCHCII), one need for health care factors variable (DPT3COVER) and three enabling factors variables (URBANISATION, LITRATETOT, LABOURABSORPTION ).
The p-values for both the Pearson's correlation coefficient and the nonparametric Spearman's rank correlation coefficient show a significant bivariate relation between 12 of the 13 ACT factors and instrumental research use at the 5% level; the only exception was the organizational slack-human resources factor.
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The major implementation issues are related to the human, cultural, facilities and resources factors.
Aesthetic design emphasis is also significantly related with founder characteristics, which are resources factors, namely founders' technical education and founders' experience of sales and marketing, respectively.
Funding models, human resources factors, and the sustainability of CBC programs have also been included as part of our taxonomy and are all essential elements of program impacts.
Variations in practice rates can be explained by intrapersonal (e.g. motivation); interpersonal (e.g. patient response) and organizational (e.g. resources) factors [ 11, 23- 27].
There is a clear coast-interior pattern with the interior regions presenting higher SAR and SMR than the ones explained by socio-demographic, economical and health resources factors.
The transition to this new agenda, while keeping pace with the processes that the old one left unresolved, requires an integrated concept of the role of human resources factors in the health system as a whole.
Understanding these reactions and their effects is important in assessing whether reforms can effectively reach their goals, since human resources factors can obstruct technically well-designed reforms and consequently deprive populations of their potential benefits.
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