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How well are non-communicable disease services being integrated into primary health care in Africa: A review of progress against World Health Organization's African regional targets.

PLoS One · 2020 · PMC7580905 · PMID 33091037

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a decreasing trendno p-value reported
However, the 2018 WHO Africa Region Secretariat reports a decreasing trend of STEPS implementation in countries from 33 in 2003, to 15 in 2015 [ 8 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.