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  1. 1601
    “…BACKGROUND: Universal Health Coverage ensures access to quality health services for all, with no financial hardship when accessing the needed services. Nevertheless, access to quality health services is marred by substantial resource shortages creating service delivery gaps in low-and middle-income countries, including Kenya. …”
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    The impact of i-PUSH on maternal and child health care utilization, health outcomes, and financial protection: study protocol for a cluster randomized controlled trial based on financial and health diaries data
  2. 1602
    “…The magnitude of school absenteeism suggests that children may be at increased risk for lower educational achievement, economic hardship, and poor health outcomes in adulthood.…”
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    School and Work Absences After Critical Care Hospitalization for Pediatric Acute Respiratory Failure: A Secondary Analysis of a Cluster Randomized Trial
  3. 1603
    “…Uniform practice across centres allows patients to access care locally, potentially decreasing financial hardship and dislocation. TRIAL REGISTRATION: Clinical Trials Registry-India (CTRI) CTRI/2015/12/006434. …”
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    Protocol for ICiCLe-ALL-14 (InPOG-ALL-15-01): a prospective, risk stratified, randomised, multicentre, open label, controlled therapeutic trial for newly diagnosed childhood acute lymphoblastic leukaemia in India
  4. 1604
    “…We used the child and adolescent versions of the structured Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire, self-completed by pupils within classes, in a total of nine schools in Lusaka (urban) and Copperbelt (semi-rural). …”
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    The prevalence of primary headache disorders in children and adolescents in Zambia: a schools-based study
  5. 1605
    “…BACKGROUND: Sierra Leone and Liberia have experienced civil wars and, recently, Ebola outbreaks that led to profound economic hardship, psychopathologies and family disruptions. …”
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    Sexual risk behaviour among school-going adolescents in Sierra Leone and Liberia: a secondary analysis of the 2017 Global school-based student health surveys
  6. 1606
    “…In addition, patients with multimorbidity are facing financial hardship to access optimal multimorbidity care. On the other hand, the health system is not appropriately prepared to provide integrated, person-centered and coordinated care for people living with multiple chronic conditions. …”
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    Experience of living with multimorbidity and health workers perspectives on the organization of health services for people living with multiple chronic conditions in Bahir Dar, northwest Ethiopia: a qualitative study
  7. 1607
    “…CONCLUSION: Our study revealed the evidence of inequity in financial hardship that the burden of household Out-Of-Pocket / catastrophic healthcare expenditures gap persists among Ethiopian households that is unfair and unjust. …”
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    The burden of household out-of-pocket healthcare expenditures in Ethiopia: a systematic review and meta-analysis
  8. 1608
    “…According to the thematic analysis, the degree of poverty (lack of asset ownership), the COVID-19 pandemic, farm decreased variety, and low crop productivity were identified as challenges to coping with the hardship of resilience to food insecurity. During the COVID-19 pandemic and public emergency, the proportion of households that were unprepared for food insecurity reached its peak. …”
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    Spatial exploration of non-resilience to food insecurity, its association with COVID-19 and household coping strategies in East Gojjam districts, Northwest Ethiopia, 2020
  9. 1609
    Publicado 2020
    “…BACKGROUND: Achieving universal health coverage (UHC) involves all people receiving the health services they need, of high quality, without experiencing financial hardship. Making progress towards UHC is a policy priority for both countries and global institutions, as highlighted by the agenda of the UN Sustainable Development Goals (SDGs) and WHO's Thirteenth General Programme of Work (GPW13). …”
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    Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
  10. 1610
    “…Treatment toxicities can impact quality of life [1], impose financial hardship and cause cancer related distress[2]. Symptom monitoring using electronic technology can facilitate early detection of complications[3], reduce symptom burden[4], cost of care[5] and improve survival[6]. …”
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    Mobile-Health Tool to Improve Care of Patients with Hematological Malignancies
  11. 1611
    “…Interventions to reduce SI should aim to alleviate post-war hardships and treat depression/anxiety.…”
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    Mediators of the relation between war experiences and suicidal ideation among former child soldiers in Northern Uganda: the WAYS study
  12. 1612
    “…Prostate-genital cancer was 71% higher among men with hardships (n = 103, HR 1.71; 95% CI, 1.06–2.74, P = 0.02). …”
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    Economic Recession and the Risk of Cancer: A Cohort Study From Eastern Finland
  13. 1613
    “…Ratings were significantly lower in families of ASD children who regularly require more support and in families that experienced economic hardships. CONCLUSIONS: While periods of home-quarantine create numerous hardships for families of children with ASD, they may also offer an opportunity for improving parenting skills, family relationships, and children's social communication abilities with potential relevance for improving remote services.…”
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    Home-quarantine during the initial Covid-19 outbreak in Israel: parent perceived impact on children with ASD
  14. 1614
    “…OBJECTIVES: To establish the prevalence of self-reported vision impairment (VI) in Southwest Cameroon and describe associated care-seeking practices, functional limitations and economic hardships. DESIGN: A three-stage clustered sampling household community-based survey. …”
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    Prevalence, care-seeking practices and impact of self-reported vision impairment in Southwest Cameroon: a community-based study
  15. 1615
    por Jin, Jang Yong, Kim, Tae-Hee
    Publicado 2015
    “…Grandmothers sharing the burden of raising children are actually encountering a number of challenges while dealing with hardships to adapt to physical and mental changes at the same time. …”
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    Current Situation of Postmenopausal Grandmothers Raising Their Grandchildren
  16. 1616
    “…OBJECTIVES: To identify and describe clusters of mothers of children participating in the Environmental influences on Child Health Outcomes (ECHO) Program that characterize pandemic-associated hardships, coping mechanisms, and behaviors, and to evaluate associations between pandemic-associated hardships, coping strategies, and behavior changes with pandemic-associated traumatic stress symptoms. …”
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    COVID-19 Pandemic Experiences and Symptoms of Pandemic-Associated Traumatic Stress Among Mothers in the US
  17. 1617
    “…RESULTS: At the baseline, 587 women reported having experienced socioeconomic hardships due to the recession. During the 20 years’ follow-up, 501 women developed cardiovascular disease. …”
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    Economic recession and cardiovascular disease among women: a cohort study from Eastern Finland
  18. 1618
    “…It also highlights the hardships in diagnosing and caring for patients with inadequate documentation of past diagnoses and treatments.…”
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    A Case of Hypernatremia With Dementia
  19. 1619
    “…The risk of alcohol-related diseases was more than four times higher among men with hardships (HR = 4.44, 95%CI = 1.04–18.90, p = 0.04). …”
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    Economic Recession and the Long Term Risk of Psychiatric Disorders and Alcohol Related Diseases—A Cohort Study From Eastern Finland
  20. 1620
    “…BACKGROUND: Refugees living with HIV in sub-Saharan Africa suffer unique hardships that may increase their vulnerability to interruptions in antiretroviral therapy (ART). …”
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    A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda
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