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8 10 However, reports from low-resource settings show low usage of the partograph and indicate challenges to its routine use, such as insufficient knowledge, non-availability of preprinted partographs and workload pressure.
However, the challenges to the implementation of the partograph, including insufficient knowledge, non-availability of preprinted partographs and workload pressure, can all be addressed with further education on the purpose of the partograph and local managerial support [ 4].
In low-income countries, STI often go undiagnosed and untreated due to lack of knowledge and/or non-availability of healthcare facilities.
Such dissatisfaction and unmet needs with primary healthcare delivery system could stem from limited knowledge of healthcare workers on needs of children with autism and other developmental disorders [ 9] or non availability of professional expertise to provide the holistic approach to management that is required in children with developmental disorders.
The non availability of clinical practices guidelines could probably explain the non-respect of the health action or practices to be recommended or carried out during the visits and the poor knowledge of the therapeutic objectives even if previous studies already revealed this inadequate compliance with the therapeutic guidelines at the primary level [ 31].
The inappropriate use of antimicrobial in low income countries is perhaps due to the lack of adequate knowledge about drugs and non-availability or non-accessibility of guidelines for therapy [ 22] or to the availability of antimicrobials without prescription and perhaps it was prescribed by non-skilled practitioners [ 30].
Further, none of the included studies were undertaken in a primary care setting, which constitutes an important knowledge gap and substantiates the earlier evidence of non-availability exploring multimorbidity in primary care settings in LMICs.
Non-availability of baseline date on the knowledge, aptitude and practices (KAP) has been a major problem to measure change in the attitude over the project period.
Working knowledge on midwifery is also required because of the sometimes non-availability of health facilities in rural areas and the high prevalence of home deliveries.
This might be related to insufficient knowledge of HSPs on pharmacotherapy in tobacco cessation and/or its non-availability and uptake at primary health centres in India.
This very poor knowledge in our study may also be explained by the non-availability of the facility even in many of the government health institutions in the country including Benin City.
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