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Careful monitoring may not be possible in many African settings.
"Any solution that addresses diagnostics and drugs but not the human resources crisis and the lack of political will in many African settings will not be comprehensive," said Dr. Mark W. Kline, a pediatrics professor at the Baylor College of Medicine in Houston, which is sponsoring 50 American pediatricians working in seven African countries.
The latter masculine position has cultural currency in many African settings.
Nonetheless, CBHIs continue to be regarded as important avenues for UHC in many African settings.
This raises important public health questions for South Africa and many African settings.
HIV education is further complicated by the pervasive stigma that surrounds infection in many African settings [ 9].
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However, in many African rural settings, little is known about landholder attitudes and preferences related to the alternative land-management schemes.
While we are confident that we have captured those that were diagnosed at the government clinic, we suspect strongly that stigma is a significant impediment to the acknowledgement of both symptoms and to seeking a TB diagnosis and treatment in The Gambia and many other African settings.
As such, it provides a fascinating arena for a study of local people's capacity to mobilise their own indigenous resources to respond to social problems, often without the outside interventions and funding characterising health and social development efforts in many other African settings.
Misconceptions, myths and stigmas surrounding HIV/AIDS are rife in many sub-Saharan African settings, hindering HIV education [ 1- 6].
Untimely, incomplete and inaccurate data are common challenges in planning, monitoring and evaluation of health sector performance, and health service delivery in many sub-Saharan African settings.
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