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Interviews were conducted and it covered the following areas: difficulty in answering the questions, confusion, difficult words, upsetting nature, and an open comment on how the patient would ask a similar question if given opportunity.
Once commenced on treatment, arrangements are made for routine follow up but attendance is low, largely because of a combination of travel times (rural areas), difficulty taking time off work (urban areas), and long waits in clinics.
Students were asked to rate neurology compared to six other specialties (gastroenterology, respiratory medicine, cardiology, geriatrics, rheumatology and endocrinology) in the following areas: difficulty learning the specialty, comfort in the relevant examination, developing a differential diagnosis and the quality of teaching received.
After the country's pacification and the first multi-party election in the mid-1990s, Mozambique had low educational outcomes, worsened by the lack of infrastructure, paucity of schools in the rural areas, difficulty in accessing areas outside provincial capitals, and shortage of teachers and school inputs (Fox et al. 2012).
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But why? Lack of change partly reflected known problems associated with community engagement observed in all deprived areas: difficulties engaging the young, difficulties engaging men, the burn-out of key community activists.
Due to the hilly terrain in Nepal, the poor socioeconomic status, the high cost of modern medicines and non-availability of doctors in rural areas, difficulties arise in accessing modern healthcare.
But lawlessness in the area, difficulties with government funding and other problems complicated its work, he added.
"The same areas of difficulty remain," Hague said.
DRUGS AND TRAFFICKING IN PERSONS 14. (S) Narcotics and trafficking in persons remain areas of difficulty.
Figures obtained under freedom of information by BBC London show that of many areas experiencing difficulty, Barnet was the worst.
The key areas of difficulty for the department are currently the work programme, universal credit, the youth contract and the employment and support allowance tests.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com