rewrite this in different wording

One major challenge was navigating the complexities of bi-national health systems and understanding how policy decisions on one side of the border affect outcomes on the other. Another challenge was ensuring that ethical considerations, such as the rights of undocumented individuals and vulnerable populations, were addressed without reinforcing stereotypes or bias.

Additionally, organizing large volumes of data into a concise and policy-relevant document was time-consuming. Ensuring that each recommendation was both evidence-based and feasible required several iterations and critical self-review.