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These factors primarily related to the availability of village midwives, the configuration of maternal health services in communities, the financial accessibility of care, and the lack of functioning referral facilities.
A number of reasons have been postulated for this, including limited availability and accessibility for many women in rural India (functioning referral facilities are only available in towns and cities, many kilometers from their homes) and the quality of care in the institutions.
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Aside from functioning referral systems and transportation facilities, educational campaigns are needed to inform victims about the time sensitivity of post-rape care.
Adequately functioning health systems are necessary on multiple levels to ensure the survival of mothers and newborns, including quality community-level interventions, functioning referral mechanisms, and sufficiently resourced facilities [ 2- 4].
Facilities located in camps reported functioning referral systems for obstetric emergencies; however, non-camp facilities reported weaker or non-functional referral mechanisms.
Patients with uncomplicated acute illnesses were admitted to KNH due to limited affordable alternative in-patients health facilities and an inadequately functioning referral system.
Skilled, speedy and quality care will only work when the necessary functioning equipment, functioning health systems, including transport and referral facilities during emergencies, are operating smoothly [ 23].
Based on Kenya's new constitution, the health sector is being restructured such that the functions of the national government will include formulating health policy and managing national referral facilities, while the county governments' functions will include facilitating provision of health services at county health facilities and managing their county workforce recruitment and retention.
While the general assessment approach remains unchanged, the more complex infrastructure of referral facilities requires the definition of standards that specifically consider the hospitals' functions.
CVS operates 6 full-service, 24-hour-a-day emergency & specialty referral facilities in the Carolinas.
Barriers associated with rurality included concerns about confidentiality and distance to referral facilities.
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