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After the FSU collapse, access to anti-tuberculosis chemotherapy became limited and sporadic, and supervision and surveillance of patients with tuberculosis was inadequate.
However, in Nigeria, as in most sub-Sahara African countries, in primary health care clinics (PHCCs) most services are provided by non-physician PHCWs with only sporadic in-house supervision from a physician.
As nongovernmental workers, we know how sporadic and limited that supervision usually is in practice for CHWs.
Supervision of peripheral units can be sporadic because it is not prioritized among competing demands on district management.
Saturday: Sporadic showers, cloudy.
@Independent Still sporadic explosions.
"There's sporadic gunfire.
No supervision.
provided supervision.
"It can be sporadic".
Sporadic fighting continues.
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