Based on our research into how women understand, obtain, assess and respond to new information about exposures to everyday household chemicals during pregnancy, it appears that a strong-to-weak knowledge dissemination strategy that is consistently encouraged by "strong sources" such as physicians, their professional organizations, and government agencies is preferred.
Putnam [ 35] described community networks as being formed through "bonding" with strong ties, supporting a feeling of belonging, and "bridging" with weak ties supporting dissemination of information.
The general lack of awareness of the PHC and EHP concepts among health service providers and consumers, pointed to weak policy formulation and dissemination within the system, resulting in implementation disparities.
Both groups viewed dissemination as the weakest element (Table 5).
The MoH's institutional leadership of the KT processes was weak; the process of evidence generation and dissemination was mainly donor driven with the MoH playing primarily a recipient role.
Problems included small samples, weak methodology, poorly designed tools, limited analyses, and little dissemination.
Dissemination and promotion of research results is weak.
The anticipated aims of such M&E systems have however not been realised in many countries due to low financial investment in M&E infrastructure, weak or ill-defined systems for collection, analysis, and dissemination of HIV data, inadequately trained data collectors, and insufficient technical capacity to transform HIV data into usable indicators [ 3, 4].
The mysterious pneumonia that is quickly spreading worldwide teaches us that in an era of globalization, when increased international travel and interpersonal exchanges also facilitate the dissemination of diseases, there can be no "weakest link" in international cooperation to stem deadly epidemics.
