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Girls are particularly affected by poor enrolment: for every 100 boys not in primary school, there are 117 girls.
Poor enrolment during the first 13 months (Phase I) prompted a review of eligibility criteria.
Improving quality of health care is particularly important in Laos, where this study and others indicate quality of care as a major reason for poor enrolment.
Some of the challenges associated with poverty include low levels of nutrition, inadequate control of infectious diseases, poor enrolment in schools and limited literacy amongst adults generally.
While these systematic reviews focus on the impact of CBHI, there is a paucity of research which systematically explores the reasons for the poor enrolment [ 11].
Fourth, the introduction of a sliding-scale co-payment system that was not well aligned with differences in socio-economic status led to poor enrolment rates (Desmet et al. 1999).
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Physical inaccessibility, caused either by a lack of transportation or by geographic barriers in the rainy season for remote, isolated villages, has resulted in poorer enrolment rates for lower socio-economic level and rural households.
Roma people are only barely informed or aware of reproductive health issues [ 16], which could be connected to the poor school enrolment of the Roma population in almost the entire CEE region [ 11, 17- 19].
This confirms the findings of studies from other CEE countries, for example those from Serbia, where socio-economic problems, poor school enrolment and the maintenance of traditional patterns by local Roma affect their reproductive health [ 9, 10, 20].
Samson et al. also find gender differences in two datasets — in one, receipt of an OAP by a female has a greater impact than receipt by a male, and in another receipt of an OAP has greater impacts on the poorest girls' enrolment (+ 7%, p <0.001) than on the poorest boys' (+ 3%, p <0.05).
Many district schemes have now asked community groups to identify the poorest for enrolment, but it is not clear how effective this strategy will be.
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CEO of Professional Science Editing for Scientists @ prosciediting.com