Progress in treatment scale-up in Senegal has been achieved despite challenges posed by a centralized public health infrastructure and weak procurement and supply management systems.

尽管中央公共卫生基础结构以及薄弱的采购和供应管理系统面临着很多问题，但是塞内加尔在扩大治疗方面取得了进展。

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Despite continuing challenges in Afghanistan, the NATO leader said the ongoing mission is indicative of NATO's continued relevance.

VOA: standard.2009.09.29

But despite the challenges, International Olympic Committee Executive Director for Olympic Games Gilbert Felli says that Vancouver organizers have done an excellent job.

VOA: standard.2010.02.21

Despite Janice Abbott's and Cherry Kingsley's efforts, the Living Library faces challenges in getting its message out.

VOA: standard.2010.02.23

Nadoll called the company's outlook promising, despite challenges like tighter competition.

FORBES: Earnings

Some conversations will not go well, but you will walk away with the feeling you did the best you could to maintain your professionalism and compassion despite challenges coming at you from multiple directions.

WSJ: Talking Cure for Health Care: Improve Doctors' People Skills

Meanwhile Congress' watchdog, the Government Accountability Office, examined the preparations in six states and the District of Columbia and concluded that despite challenges the seven governments have taken steps to create their insurance marketplaces, or exchanges, that they expect will be ready to begin enrolling customers by the Oct 1 startup date.

WSJ: Administration: 'Obamacare' to offer more choices