In Obama's words, the model that proved successful is a reliance on local forces "that can not only succeed against [Isis] but then sustain in terms of security and in terms of governance".
But barely a year after the NRF was declared operational, NATO admits the Europeans are too stretched to meet its requirements.With deployments in the Balkans, the Middle East and Africa, many European countries are close to the limit of what they can sustain in terms of overseas operations.
"Inevitably as time goes on and cuts continue we're facing sustained pressure in terms of the money we have to find to save and that inevitably means compulsory redundancies are necessary".
They stated, in response to the investigation, that they have a "rigorous ethical trading program" and that they're "proud" of their "sustained efforts in terms of factory inspections and audits".
The GMU continues to show sustained benefit in terms of shorter delirium duration and hospital cost savings resulting from the lower LOS for older persons with delirium.
Building research capacity is a long-term process that requires sustained effort, in terms of formal training opportunities but, more importantly, in providing a nurturing environment for trainees to continue to develop their knowledge and skills by being involved in conducting research.
Provision of delivery supplies had a significant and fairly sustained impact in terms of increasing health facility deliveries; whether or not these supplies are delivered as mama-kits or other form, ensuring availability of delivery supplies is an important intervention in increasing facility based deliveries.
We did a report, our newsletter Insight in November of 2007, saying that we thought that China just didn't have a big enough middle class yet to sustain itself in terms of economic growth, that it still was dependent on exports, most of which directly or indirectly went to the U.S. consumer.
The Christian Grey of cities. Southend has always had an air of failure that could be attributed to its feeling of inadequacy next to London, which at once sustains it in terms of the endless job opportunities, but also deprives it in other, less quantifiable ways.
In the context of the decentralized health system, continued facilitation and monitoring and evaluation are required to ensure local ownership and sustain synergies in terms of service delivery outcomes and health impact over time.
Sustainability is a major challenge and CASIMIR aims to make recommendations to the European Commission and the community on the extent to which databases might become self-sustained in terms of data deposition, usage, development and financial support.
