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This gap is due largely to systems weaknesses in immunization programs that can be improved.
At present, research on how to measure and identify health systems weaknesses and strengths is very scant.
In addition, research is essential for identifying solutions to health systems' weaknesses and monitoring the achievement of health systems' goals.
Specialist consultants can identify systems weaknesses not identified by critical care providers, and should be engaged in the ICU patient safety movement.
Systems weaknesses are the main reasons why - despite initial policy intentions to opt for integrated approaches - parallel systems are being built that increase complexity and trigger inefficiencies.
The EVD epidemic provides an unprecedented opportunity for West African countries not yet affected by EVD cases to make progress on tackling long-standing health systems weaknesses.
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SIR —Your article on global public health is absolutely right in identifying health system weaknesses as the main bottleneck to more efficient aid programmes.
"I.N.S. failed to address known system weaknesses before implementing a program that they knew would tax that system as it never had been taxed before," said Robert L. Ashbaugh, acting inspector general.
Near-miss events afford early detection of possible system weaknesses and provide an early chance at correction.
The case study illustrates how the technological innovation systems (TIS) approach can be used in a deployment context to reveal system weaknesses.
In the electricity sector, they are stagnating at the stage of demonstration projects because of two important system weaknesses that counteract demand for storage.
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