If the practical problems of menstruation and schooling are the key, then the emphasis should be on improving the facilities and attitude of schools [5], [8], [13].
In 2011 and 2013, the Dutch city was ranked safest for cyclists by urban planning consultancy the Copenhagenize Design Company, using criteria such as bicycle facilities, drivers' attitudes, and political will to promote cycling.
Findings from these direct observations, pupil focus groups, and teacher interviews, designed to explore facilities, knowledge, attitudes, and behaviours related to hand washing, have been reported previously [ 17].
Other barriers include a perceived lack of skilled staff in public facilities, the attitudes of health workers, costs of care and lack of knowledge.
Practical and individual categories including availability of facilities and attitudes, are the most frequently addressed, followed by organisational aspects, such as staff engagement.
At the same time we formally sought permission for the research from the new Director of Care of the aged-care facility, whose attitude to the chiropractic programme dramatically changed once this was done and she understood the history of the programme.
The factors identified cut across the individual, socio-cultural, and political and health system spheres, and the main determinants include women's fear of developing pregnancy-related complications, status of women empowerment and support at the household and community levels, removal of user-fees, proximity to the health facility, and attitude of health providers.
The implementation process was particularly influenced by facility manager attitudes, as illustrated by this facility manager's description of her approach to NIMART I'm somebody very different, receptive to anything.
These factors cut across the individual, socio-cultural, and political and health system spheres, and the main determinants include women's fear of developing pregnancy-related complications, situation of women empowerment and support at the community and household levels, removal of user-fees, proximity to the health facility, and attitudes of health providers.
That led to alcoholism, detention in juvenile facilities, a brazen attitude and, ultimately, the streets.
