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This is generally consistent with the service utilization pattern of patients with severe mental disorders in the country [ 51], which in turn is likely to be related to the limited availability of services [ 52].
Limited availability of services was most marked in rural and peri-urban slum areas where patients reported that they felt there were no effective medical services available to meet even their most basic needs within easy travelling distance.
Limited availability of services requires pregnant women to travel long distances for care due to closure of local services with many women needing to leave their community to give birth placing a substantial burden on families affected [ 45- 47].
Factors contributing to low uptake of treatment are varied and include lengthy treatment regimens, severe side effects, stigma and social inclusion issues, and limited availability of services [ 4, 6].
Establishment of responsiveness under these more ideal conditions is warranted, but, in the current study, accrual of an adequate sample size of individuals at the same stage of treatment was not feasible due to a relatively low prevalence condition and limited availability of services at this level of care.
Aside from failing to perform all of the signal functions, the hospitals did not satisfy the criteria for functioning EmOC facilities primarily due to a lack of trained staff, limited availability of services (less than 24 hours a day) or lack of supplies and equipment for performing the signal functions to a quality standard.
Similar(53)
In remote areas, the limited availability of health services is a constraint for service uptake, especially where the village midwife frequently travels out of the village or does not live there.
The factors that hindered utilization of antenatal and postnatal care services in our study included financial difficulties, physical distance to health facilities aggravated by poor road infrastructure, a limited availability of health services, and perceived need for health services.
Prior lack of access to free ART services, stigma related to HIV, and limited availability of VCT services in most areas, might have played a role in delaying diagnosis.
As well as this, victims of historical child abuse, who are today's adults, when looking for suitable support or psychological help, also face limited availability of specialist services, which are under increasing pressure as budgets are reduced, in real terms, and demand increases as more survivors of abuse come forward.
While direct costs for most health care services are either fully or partially subsidised, the limited availability of specialist services for the treatment and management of eating disorders in the public hospital system forces many to seek private treatment.
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