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Tailoring and integrating oral and general health promoting strategies should target this community as the literature reports a lack of community knowledge about khat chewing impacts [ 3, 21, 32].
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However, the lack of community members' knowledge about symptoms which require medical care can lead to delays in recognition and treatment of severe complications contributing to maternal deaths [ 3].
Lack of community awareness and patient knowledge about tuberculosis and its management have been mentioned by other researchers as obstructing factors [ 6, 7].
On the other hand, poor community involvement in the design of survey instruments (77), lack of understanding of the communities' knowledge of health issues, lack of bidirectional translation and implementation (76, 77), and failure of advisory councils to adequately motivate study participants and CHWs (76, 77) were the key factors responsible for poor study outcomes.
But, as Tunde points out, despite Somalis' high visibility in Moss Side, there's a disappointing lack of wider knowledge about the community's positive impact on the area, as well as confusion about Somali identity: "I was speaking to a local teacher and she referred to the Afro-Caribbean students as black, but the Somali pupils as 'Somali kids', and to me that was an eye opener.
Also highly prevalent were the barriers of community HIV/AIDS knowledge, lack of supportive/understanding work environments, lack of employment opportunities, and personal financial resources, which were identified as problematic (regardless of severity) by 72.1%, 69.2%, 69.7%, and 64.8% of the global population, respectively.
Some Hispanic residents noted that besides being insensitive, the remarks reflected a lack of knowledge of the community.
Lack of knowledge of available community services however, and difficulties in making appropriate disposition decisions, were factors that were noted to affect confidence in our research, but were not reported in the quantitative study, highlighting the value of this qualitative research to better inform clinical service provision and education.
The pre-paid debit card industry has always been an industry that is built upon a lack of knowledge within the community.
They believed this reflected a lack of knowledge in the community about the different types and causes of diabetes.
Poor organisation of services and quality of care, lack of knowledge in the community, and traditional beliefs and practices further delay or inhibit PPC.
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