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Usually, quarterly to six-monthly analysis of audit systems is recommended for evaluation of recurrence of substandard care factors and the success of implementation of the recommendations [ 30].
However, because artesunate monotherapy is no longer the WHO recommended therapy to treat malaria, additional field evaluation with diverse genuine, substandard, and falsified ACTs is required.
Our empirical evaluation shows that some events where substandard medicines have led to patient harm can be detected through the existing global pharmacovigilance system.
Additional evaluations with other medicines, both falsified and substandard, and in other geographical settings are required.
We hope that the present evaluation of quality consistency will help improve the control of substandard generics produced by some domestic pharmaceutical companies.
Substandard schools?
Housing is often substandard.
Temporary, substandard grass fields?
Sometimes, they were also substandard.
Their medical is substandard.
It may add another "S" for "substandard".
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