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In a previous study to address a lack of prospective information on patient and family needs, we demonstrated that acute stroke patients have a high burden of problems that the principles of palliative care can address [ 4].
Although global evidence suggests that patients bear a high burden of problems from the point of HIV diagnosis [ 9], clinical skills and research since the advent of ART have focused mainly on outcomes of viral suppression and delaying mortality, and arguably have lost patient-centredness [ 10- 12].
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Given the high burden of mental health problems, provision of mental health services is an important part of an integrated package of care during humanitarian crises [ 8].
These varied potential impacts are likely to be more severe for populations and geographic regions already experiencing a high burden of public health problems and resource scarcity (Tang et al. 2009).
Considering the high burden of disease of psychosocial problems in children and adolescents, early intervention regarding problem behaviour of young children is very important.
This is particularly critical in developing countries, where three major factors converge – comparatively higher proportion of young people in the population, disproportionately high burden of youth-related health problems, and greater resources challenge.
Adolescents in Nigeria have high burden of sexual and reproductive health problems [ 2]: the age-specific fertility rate of adolescent girls was 126 per 1,000 in 2003; and a quarter of females aged 15 19 years had begun childbearing [ 3].
Homeless people have a disproportionately higher burden of health problems than the general population.
Such an approach is particularly important for women who face a higher burden of social problems and mental illness, which influence diabetes self-care and health outcomes.
Low income populations have a higher burden of health problems in general, and the primary care physicians who serve these communities may view the DEC as the most efficient way to provide complex patients (ie those with diabetes) with the care they require.
With relatively little additional investment, basic mental healthcare (as illustrated in the WHO mental health Gap Action Program (mhGAP)) can be integrated into existing diabetes care guidelines; such an approach is particularly important for women who face a higher burden of social problems and mental illness, which influence diabetes self-care and health outcomes.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com