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This is reflected in delayed enrolment and high repetition rates in Grade 1 leading to high dropout rates (RGOC, 2003).
From 2005 to 2006, 78 (12.7%) participants diagnosed with HIV infection before study initiation delayed enrolment by 6 months to 1 year.
Recent research has reported objective and subjective stigmatization of individuals with eating disorders [ 19, 20], which is consistently associated with more damage to well-being and delayed enrolment in treatment.
There are also indications that improper practices employed by the PICs – delayed enrolment and overly aggressive utilisation management – may have also contributed to the low utilisation at the initial stage of MIP implementation.
Unadjusted and adjusted analyses were performed to assess baseline covariates of age at EDI, sex, risk group, BMI, male circumcision, delayed enrolment (more than 6 months post-EDI), education, hemoglobin, marital status, method of HIV detection, report of acute retroviral syndrome, source of recruitment, and HLA type on risk of disease progression.
While the women who delayed enrolment until after talking to their partner's may reflect more traditional gendered decision-making roles, women's decision to discuss gel with their partners only after enrolling in the trial provides another example of the decision-making being shifted to women's advantage.
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Some of these studies have found that it is not atypical for households where one or more parents have died of AIDS to prioritise the enrolment of older children while delaying enrolling the younger ones (Guo et al., 2012).
This is an especially troubling finding, since we already know that in Africa, the emotional strain of losing a parent or both parents – and being stigmatised as a result – can delay school enrolment, affect attendance, and ultimately lead orphans to drop out.
Healthier participants may have out-migrated for work and rapid progressors may have initiated ART or been too ill to enroll; however, sensitivity analyses between participants with delayed versus immediate enrolment produced no significant changes to our conclusions.
The burdensome bureaucratic procedures involved in Medicaid enrolment delay women access to check-ups, risking their lives.
"Yet successive governments have delayed the introduction of auto enrolment and the new system will not now be fully in place until three years after the next general election".
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