The main barriers to utilization were lack of time and lack of staff.
The locus matK has been shown to be very variable in numerous phylogenetic studies [ 34, 35]} and other studies have also noted the difficulties of its utilization due to PCR failure and lack of truly universal primer sites [ 9, 10].
A deficit in the skills and experience of decision-makers in research literacy and research utilization, and a lack of formal management training were expressed as barriers to evidence-use in program management [ 15, 16, 18- 22].
The qualitative analysis underscores the influence of Asian family and community stigma on mental health utilization and the lack of culturally appropriate mental health interventions.
When prompted they cited lack of familiarity with the use and location of equipment, and lack of encouragement to use it as being major barriers to utilization.
However, the current industrial furfural production process relies on relatively old and inefficient technology, which has some problems such as low production yields, environmental pollutions, and lack of biomass comprehensive utilization.
Moreover, the rates of non-response, particularly for height, limit the potential use of self-reported BMI in among populations with low education, illiteracy, and lack of access to or utilization of health services for periodic measurements.
As for the lack of use of vocal reminders, this could be attributable to a number of factors: lack of knowledge of the "new" functions on the part of both professionals and elders, lack of client follow-up by professionals, and lack of ongoing training regarding utilization of the telephone by the researchers throughout the project period [ 33].
Major factors for the low utilization were lack of medicine with FCHV, perceived incompetency of FCHVs to provide services, and lack of awareness about FCHVs' services.
The leadership and management related factors included insufficient commitment of politicians and other key actors which led to insufficient funding of health systems, under utilization of available resources, lack of enabling policies for maternal health care, poor management, misplacement of priorities and lack of credibility, loyalty to the assignments, innovativeness and leadership skills.
