尽管如此，所有这些因素也不大可能扭转眼下的普遍趋势。
But none of these factors is likely to reverse the general trend.
为了改善孕产妇健康，应该在社区水平发现卫生系统的能力和质量的差距以及妨碍孕妇获取卫生服务的因素，并且扭转这一局面。
To improve maternal health, gaps in the capacity and quality of health systems and barriers to accessing health services must be identified and tackled at all levels, down to the community.
这些不利因素造成这些孩子一开始上学就落后同龄人(见图) 而且从此难以扭转(见图)。
This disadvantage leaves them trailing far behind when they start school (see diagram) and they seldom recover (see diagram).
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