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The discussion of the main institutional actors - the World Bank and IMF , Strategic Partnership with Africa ( SPA ) , the UK and US governments , and the NGO movement - illustrates clearly the high level of contact between individuals in different institutions . The authors acknowledge challenges to implementing VBID , including the initial short term increase in cost that would result from increased utilization of medications and tests by appropriate patients , and the lack of research on many health issues that would steer the tailoring of insurance plans to reduce costs for those who stand to benefit most from any one test or treatment . And if the gentleman assumes that those boxes were created on that piece of paper with significant interaction by other committees , and the laxity of this Committee 's involvement did not get us a box , I can assure you , in my conversations with other committee chairmen , they do not believe that is the case . The co-mingling of the $ 40 in marked bills , and the lack of any other obvious source for the $ 295 , made it reasonable to attribute the money to drug dealing properly included in the sentence . Government is combating truancy through the creation of in-school learning support units for disaffected pupils , the introduction of mentoring schemes , and the imposition of fines on the parents of truanting children . During his tenure at the University , he was involved in projects in Uganda , South Africa , Brazil , Bolivia , Peru , and Central America with funding from the World Bank , CIDA , IDRC , and the Federation of Canadian Municipalities . The JCSW recognized and acted upon the need to represent and document the special role that women have played in mid and late 20th century medicine , and the lack of accessible material on that subject .