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However other issues, such as poor working environment, lack of resources, and poor management at service level, were not addressed.
Low birth weight, which increases the risk of infant mortality, is related to poor working environment [ 15, 45].
Decisions by nurses and doctors to migrate are often related to a poor working environment [ 4, 13, 15].
However, in the multivariate regression analysis, factors "poor working environment" and "industrial pollution" were both statistically significant independent determinants of the infant mortality rate.
In the multivariate regression analysis, an increase in factor "poor working environment" of 1 SD was related to an increase in infant mortality of 40 (95 % CI: 28 53) per 100,000 live births.
An increase in factor "poor working environment" of 1 SD was related to an increase in the expected infant mortality rate of 40 (95 % CI: 28 53) per 100,000 live births, P < 0.001 (Fig. 2).
Similar(45)
Over 200 doctors have already withdrawn from their new posts, citing difficult access to health centers and poor working environments.
Often, poor working environments adversely affect provider performance by placing them at risk for stress and depression.
The result is that migrants usually have a vulnerable standard of living and poor working environments and conditions.
Most recently, Mselle's qualitative study in Dar es Salaam and Dodoma regions found that poor quality care and poor working environments contributed to "bad birth experiences" which "undermine the reputation of the health care system, lower community expectations of facility birth, and sustain high rates of home deliveries" [ 23].
The marginal rate should be abolished – we have not seen the withheld 70% invested in prevention and reducing demand for A&E and this has a punitive effect on providers, creating a poorer working environment and damaging staff morale.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com