We do need more understanding of the behaviour of individual abusers, which is where another under-resourced facility like the Lucy Faithfull Foundation does excellent work.
There is still no doctor, despite repeated attempts to advertise the vacancy; other jobs have been filled, so the overall staffing is up, but still no doctor can be persuaded to work in such a remote and under-resourced facility.
This leads to patients presenting to under-resourced facilities highlighting the need for sophisticated ambulance services for inter-facility transfers.
Given the potential for impact on mortality, hospital length of stay, and cost-effective utilization of limited resources such as therapeutic oxygen, further implementation and evaluation are warranted in programs that provide under-resourced facilities with pulse oximeters, oxygen concentrators, and training in their use.
Documented challenges to maternal and child health in Kenya arise from a complex interplay of social, cultural, economic and logistical barriers, coupled with under-resourced facilities and a high fertility rate.
Adolescents enrolled in lower secondary school but who are overage and or not learning in overcrowded and under-resourced facilities are seen as the Stepping to Success group.
The public healthcare sector in developing countries faces many challenges including weak healthcare systems and under-resourced facilities that deliver poor outcomes relative to total healthcare expenditure.
Reasons for delay include fear of stigma if sexual assault is discovered by husband and/or family, cost of transport and care, lack of knowledge about services, insecurity and under-resourced facilities [ 8, 16].
At other facilities in the region, particularly under-resourced government facilities, the safety record has been poor: About 427 doctors and nurses have been infected, mainly in government facilities, and 236 of them have died, a catastrophic loss in West Africa, where doctors are scarce.
Contributing factors include poverty and lower education levels, limited services, geographic isolation and long distances to health services, as well as too few and under-resourced health facilities [ 2].
However, our findings identify that well-intentioned maternal healthcare providers working in the poorest areas of Nghe An province are saturated by not only a poor reputation and outdated training, which are similar problems found in other low- and middle-income settings (21), but also by under-resourced and overloaded facilities, which keep resources from being allocated.
