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Although health workers perceived exemptions to be the main cause for insufficient resources, evidence from the literature and the field suggests that low enrolment levels into cost recovery schemes, bad managerial practices and lack of transparency and accessibility hamper the potential for quality improvement [ 48, 51].
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Preschool enrolment in the former Yugoslav Republic of Macedonia has been gradually expanding from a low base, but enrolment levels remain some of the lowest in the region.
The key results of the interviews are presented in table 5. *Only when directly mentioned as reason for low enrolment At the central level of the Ministry of Health, the KI interviews indicated absence of a central, strategic policy on CHI.
This study was based on a small sample of enrolled individuals, reflective of low enrolment rates at the population level.
Despite these indicative improvements, low enrolment and transitions at basic level give a general view of stagnation.
With the exception of Ghana where coverage of CHI is relatively high, enrolment levels have remained low in the rest of sub-Saharan African countries, thus raising concerns about sustainability of such schemes.
In this study, the reasons for the low enrolment are investigated in two different models of CHI.
It is suggested that the school based health programmes offer the potential to reach significant numbers of population such as "school-health days" which may draw to children to receive treatment, even in countries with very low level of enrolment or high level of absenteeism or drop out rate [ 15].
Australians between 18 and 24 years olds have the lowest enrolment rate of any age group.
Gains in enrolment, low level of learning Over the past 15 years, significant gains have been made in enrolling millions of children worldwide.
However, in Uganda there was no evidence that poor quality health care had contributed to low levels of enrolment [ 21].
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CEO of Professional Science Editing for Scientists @ prosciediting.com