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Closer examination of these studies, however, indicates an inequity between clinic and home care groups; the implementation of nurse clinics are typically characterized by more skilled provider teams and closer adherence to evidence-based recommendations than the comparator groups which often neglected to include compression therapy.
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Hypothetically, patients may be willing to wait longer at facilities they consider higher quality (with more skilled providers and better diagnostic equipment), while these facilities are also more likely to perform higher in EWIs.
Patients who could afford to pay remained with these more skilled providers, while the poor could not afford CMW care with the result that even the few CMWs who wanted to work could not establish their practices.
They speculated that mothers of children with diarrhoea and respiratory infections may have sought advice and basic treatment from CHWs thereby delaying or preventing the delivery of better treatment by more skilled providers in sub-district clinics.
Conversely, Cambodian beer promoters were more likely to agree that male providers were more skilled than female providers, than beer promoters from other countries (item 33).
Likelihood to quit is significantly associated with position within the PHC center as the more skilled groups of providers were less likely to quit compared to allied health professionals.
In Tajikistan, women with financial decision-making power were more likely to attend at least one prenatal consultation (although less likely to attend four or more), deliver with a skilled provider, and seek institutional delivery care.
Without adjusting for the independent variables, the cross tabulation (Table 2) indicated that mothers residing in all the three different performing areas used significantly more antenatal and postnatal care and received more skilled attendance at delivery from skilled providers at the end of the intervention.
Similar to the antenatal care service, women who preferred health professionals for their maternity care and have awareness about health facilities to get skilled professionals used significantly more delivery care by a skilled provider compared with their counter parts.
Helping women gain access to the family planning they want takes commitment: it involves more health clinics, skilled providers, and a range of quality contraceptive methods to choose from.
Compared to national averages, slightly more women in the region deliver in a facility (58%) and more births are attended by a skilled provider (60.6%) [ 28].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com