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A study with women attending ANC services in Uganda shows how women living with HIV felt they did not receive sufficient counselling after HIV testing to address their fears and how to cope with a positive diagnosis [ 31].
Fifty-four per cent of patients indicated that there was sufficient counselling, but further distinctions revealed dissatisfaction with both the extent and content of the counselling.
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There needs to be sufficient counsel from developing countries themselves and they need to be involved in the planning process to ensure the content and the process of the legislation works seamlessly in their favour.
Fisher's exact test will be used to compare proportions of sufficient knowledge after counselling and at follow-up.
Women in our study stated there was a lack of written information available on GDM, and that they felt health providers lacked sufficient time for counselling.
The finding of a lower energy intake suggests that it may be difficult to maintain sufficient energy intake when suffering from morning sickness, but it is beyond the scope of this paper to address the issue of counselling on sufficient energy intake during the early phase of pregnancy and not only prevention of excessive gestational weight gain.
A discussion about mode of delivery should be started since early pregnancy, to allow sufficient time for listening and counselling, second opinion and even, in case of persisting disagreement, timely referral to a colleague without danger of jeopardizing the patient's care.
Regarding metabolic control, SSRIs may have moderately beneficial results in trials with sufficient statistical power, while CBT and counselling for depression seem to have relatively positive short-term results.
She explained that because physicians bill FFS, they must restrict the time they spend with each client in order to maintain sufficient throughput in their daily billing – making it difficult to perform a comprehensive assessment and/or counselling.
Many are counselling patience.
Not counselling.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com