However, the 2004 Joint Learning Initiative report on Human Resources for Health and others have concluded that shortage and mal-distribution of health personnel, with few in rural areas, undermine scaling up efforts, particularly in low-income countries [ 10- 13].
But it is possible to report about this feelingly, without undermining the scale of the tragedy, with some perspective on what this case means for the scheme as a whole (see here and here).
Similarly, in Zambia, health care reforms led providers to feel insecure in their jobs, resulting in a high turnover of staff during the implementation of new reproductive services and undermining the scaling up of contraceptive services [ 21].
Given limited disruption, the city will quickly bounce back, but a larger disaster could disperse enough of the city's people and businesses to undermine the scale that acts as New York's gravity.
GE breaks many moulds, but there are limits to what even the most entrepreneurial arm of a conglomerate can do.That does not undermine the scale of GXS's achievement; rather, it suggests how hard it is for big companies to keep up with nimble newcomers.
These are inherently anti-infrastructure and undermine large scale competitive shareholder responses that expand our GDP.
A study by Stanford researchers says seismic risks could undermine large-scale carbon capture.
In the mid-90s he claims to have "reverse-engineered" Jeremy Rifkin's The End of Work, the 1995 bestseller arguing that information technology would undermine large-scale industrial production.
These claims create uncertainty among the managers of control programs about the efficacy of the control measures to be implemented and undermine the scaling up of STH control activities.
Yet initiatives like the G8's New Alliance for Food Security and Nutrition, which is supported by £600m of UK aid, are undermining the small-scale food producers who feed the vast majority of the world's poorest people and provide a more diverse and nutritious diet than the industrial farming system.
