Structural and interpersonal barriers to screening include lack of knowledge of available services, financial constraints, family responsibilities, difficulty obtaining transportation, dissatisfaction with care, disapproval by a male partner, or discomfort with a male provider [ 11– 16].
These have included problems with the selection and functioning of committees, lack of clarity in roles and responsibilities, difficulty in sustaining voluntary membership over time, insufficient resources, and inadequate representation of and links with the wider community (Molyneux et al.: Community accountability at peripheral health facilities, submitted).
Over a third of doctors cited administrative difficulties including: lack of clear policies, bureaucracy and complicated government rules, unclear demarcation of duties and responsibilities, difficulties in exercising authority and disciplining employees, and a gap between responsibility and authority.
Having the support of your financial planner can help you get the process of settling your spouse's affairs started while ensuring you have all the tools necessary to manage these responsibilities without difficulty.
Factors commonly associated with sub-optimal participation include ill health, domestic responsibilities, and difficulty accessing supervised programs [ 25, 26].
Other challenges noted in interviews were the need to balance assisting patients with encouraging personal responsibility; the difficulty of changing patients' long-standing behaviors ("The problem is that they've had these patterns for so long.
In our earlier mentioned qualitative study, women sick-listed owing to work-related strain described putting high demands on themselves, having a high sense of responsibility and difficulty in setting limits as contributory factors in being put on sick-leave [ 17].
Women with caring responsibilities have more difficulty with this [pressure].
However, many business impediments remain, such as high levels of bureaucracy, legal uncertainty due to overlapping and at times conflicting responsibilities between agencies, difficulty of enforcing contracts, and weak investor protection.
"One of the annoying things about believing in free will and individual responsibility is the difficulty of finding somebody to blame your problems on," the great religious scholar P. J. O'Rourke wrote in Rolling Stone in November 1989.
Notwithstanding the age-long debate about corporate social responsibility and the difficulty in arriving at a consensual definition of the concept, CSR is gaining currency in many business enterprises in Ghana today.
