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(1,2 .Thus SSC has edicted recommendations to improve the management of this pathology. 3)But some authors have expressed reserves on the implementation of these recommendations in low income countries.
Programming recommendations in low prevalence settings are often based on the experience of high prevalence countries, but does the evidence support this?
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The belief that everybody needs to be tested regularly is contrary to recent WHO recommendations in low-level HIV prevalence or concentrated epidemic settings, which consider that re-testing should not be recommended to HIV-negative people [ 37].
Even relatively short periods of isolation from the workplace (7 10 days) would be a problem for low-income workers, and if an outbreak were serious enough to warrant 1-month isolation recommendations, persons in low- and middle-income groups would have more difficulty complying than would upper-income groups, thus limiting the effectiveness of mitigation strategies.
So far, existing knowledge has remained at the level of general dietary recommendations in many low- and middle-income settings including India.
However, the pathway to regulatory approval, policy recommendation, and program introduction in low- and middle-income countries is complex, requiring engagement with multiple, diverse stakeholders.
Despite existing guidelines, rates of compliance with hand hygiene recommendations remain low in hospitals.
Adherence to exercise recommendations in patients with HF is low and low adherence has a negative effect on the clinical outcomes, such as HF readmission and mortality.
The two factors found to predict knowledge to be more consistent with guideline recommendations in our study were low baseline knowledge and profession, accounting for 35% of the variance.
The World Health Organization recommends dry cord care for newborns but this recommendation may not be optimal in low resource settings where most births take place in an unclean environment and infections account for up to half of neonatal deaths.
The above recommendations may also find a place in low- and middle-income countries struggling with rising cigarette sales in an environment of social and cultural diversity [ 39].
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CEO of Professional Science Editing for Scientists @ prosciediting.com