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Individuals who work for their family, do part time work, work within the household or are unemployed were found to have difficulty accessing services due to distance, difficulties getting an appointment and/or waiting times.
Distances are likely to contain measurement error due to incorrect geocoordinates and in the case of network distance, difficulties in terrain and seasonality were not considered in the measurement.
Reasons given for late attendance were: not recognizing the pregnancy early (29%); poor accessibility due to distance, difficulties to cross rivers or poor road conditions (17%); not being able to come due to illness or other obligations such as travelling, caring for a sick person or agricultural work (14%); or negligence or apathy (13%).
The AOFAS ankle hindfoot score was introduced in 1994 by Kitaoka et al. [ 15]. and includes nine questions on pain, activity and functional limitations, walking distance, difficulties with different terrains, gait abnormality, sagittal range of motion at the ankle and range of motion at the subtalar joint, stability, and alignment (whether or not plantigrade).
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Environmental factors that may affect outcomes between levels of care include the distance, difficulty and cost of transport to health facilities [19], [20].
Other facilities fared less well; inter alia as a result of lack of resources to conduct supportive supervision over very long distances, difficulties in buy in experienced as a result of the decentralization of services, and the high mobility of KMC-trained doctors who left the remaining trained nurses behind without the necessary clinical support.
Long distances, difficulty with travel, and difficulties with the re-identification of sample persons make reporting of centralized testing very difficult.
Important NEI VFQ-25 quality of vision subscales (general vision, difficulty with distance tasks, difficulty with near tasks) and vision-specific subscales (dependency, role difficulties, mental health, social function limitations) tended to correlate negatively with increasing patient age and duration of vision loss, but correlated positively with better VA and reading speed.
Instead he captures from close proximity a self-made community that, despite its distance and difficulties, actually resembles the rest of the world in a surprising number of ways.
However, not all mothers of these cases could be interviewed due to the distance and difficulties of reaching the mothers of the cases in the area.
Other stressors like physical health problems, ageing and isolation, cultural distance, stigma, difficulties faced in Canada, and socioeconomic problems were identified as continuous stressors but were considered less important and were less frequent.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com