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27 This, combined with limited funding, high-teaching burdens, low-quality facilities and frustrations with bureaucratic and operational hurdles found in this and another study, 27 all serve as strong disincentives to research.
Demand is responsive to quality of care,[ 59, 60] and poor quality will eventually lead to bypassing of low-quality facilities to higher-quality facilities, and thus also increase inequity of access[ 20] and the effect of health systems on iatrogenic poverty[ 61].
Similar(58)
Although much has been done to expand the delivery of mother-child health care in Brazil, situations of insufficient facilities, low-quality services and social disparity in access still persist [ 3– 5].
Such barriers include: lack of transportation, distance from the health centre, cost of travel and health services, perceived low-quality of care in facilities, unavailability of emergency obstetric care at health centres, and cultural barriers including women's inability to travel alone and their adherence to traditional practices [ 2, 11- 15].
Expectations of low-quality care at the nearest facility influences the initial decision to seek care (27).
2– 4 Women who do deliver in facilities often receive low-quality care that does not meet evidence-based standards.
The study findings also showed that women balanced the advantages of private facilities with their concern about low-quality technical medical treatment.
Some facilities provide a limited number of low-quality pads for free, but force women to use their own money -- money that many simply don't have -- to purchase any extras they need.
Facilities without electricity often rely on paraffin lamps or candles that offer low-quality light, rendering medical procedures dangerous after nightfall [ 25, 26].
Low-quality video below.
Heglig and Bamboo produce low-quality crude.
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