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These data indicate persistent gaps in effective counselling, specifically in nutrition topics, provided through ANC clinics.
This intervention posed a new challenge not addressed in the literature: the challenge of peer counselling specifically, and community health work in general, in the context of HIV.
Retention in care could be further improved by providing adherence counselling specifically targeting patients in the first months after ART initiation and services tailored for male patients.
Amongst other recommendations, Kranzer at al. proposed late clinic hours providing care after working hours, special support groups for men and adherence counselling specifically dealing with the needs of male patients (49).
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Information in primary care and preconceptional counselling to specifically inform patients about the need to take folic acid to prevent NTDs seem to be crucial to improve the final intake of folic acid during the protective period.
GPs discussed how some patients presented with multiple problems or conditions, and how this left little or no time for physical activity counselling, or specifically administering a Green Prescription.
Tailoring the exercise and counselling content specifically towards vocational outcomes (like return to work) was not apparent in any of the descriptions of these four studies and was, as explained earlier, not a specific long term goal.
Effective communication (e.g. polite and clear explanation), relationship with respect and trust, as well as patient-centred counselling, were specifically mentioned by the participants as their reasons to accept insulin: "When the doctor advised me to start insulin therapy, I felt embarrassed to reject his recommendation.
The special counsel regulations specifically say that Mueller should follow other DOJ rules, Treanor pointed out.
To improve HCT services, there needs to be training needs with a standardised curriculum and refresher courses, for HIV counselling and testing, specifically for specific elderly clients, discordant couples, homosexuals and children.
More specifically, counselling should focus on emphasizing the risks of mixed feeding with solids which are more hazardous than predominant feeding with water-based fluids.
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