Most households in the KGR interviewed in June 2011 833%) described poor quality of grass, scarcity of water and animals running out of pasture (overgrazing) as the main push factors for transhumance.
They also described poor quality of reporting as a one of the most important barriers restricting our understanding of the impact of patient engagement in research.
Records described poor quality of care and poor adherence to evidence based guidelines in several key areas e.g.: smoking cessation advice, treatment of anaemia, urinary tract infections (UTI) and sexually transmitted infections [ 16].
In interviews and focus group discussions in Plateau State, many cattle owners said that ineffective treatments for trypanosomiasis were a major issue, with one group describing poor-quality trypanocides as the 'number one' (focus group in Maiyanga, Plateau State, 29 April 2014) veterinary health problem they faced.
Also the range of the scores in ERS measures sometimes did not go low enough to accurately describe the poor quality found in license-exempt centers.
We have previously described poor subjective sleep quality in this patient population.
Yet they also described the poor quality of the medical services available to them, partly because the services were perceived as unreliable.
Previous studies have described the poor quality of research reporting [ 17- 19] but, encouragingly, research has also shown that the development and use of formalized guidelines improves the quality of reporting [ 20].
Recent studies have described the poor quality of vaccination services, with the constant stream of vaccine shortages, failures in asepsis with harmful consequences, and offensive behaviours on the part of vaccinators, all of which produce a negative reaction among parents in regard to immunization services in African countries [ 15, 18].
Adequately quantifying the flows and stocks of health workers in a globalized world is a very difficult endeavor, as reliable information is nearly impossible to obtain, and is generally described as of poor quality (7) or even anecdotal (8).
