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-- esperanzo espino, department of parasitology and medical entomology, research institute for tropical medicine, manila, philippines difficulties in reaching health facilities, as a result of distances, lack of transportation, or poor roads, are well-documented impediments to care (world bank 1993; atai-okei 1994; kaendi 1994; iqbal 1995; ren et al.
les difficultés d'accès aux centres de santé, à cause de l'éloignement, du manque de transport ou du mauvais état des routes, sont des obstacles dont il est souvent fait mention ( banque mondiale, 1993 ; atai-okei, 1994 ; kaendi, 1994 ; iqbal, 1995 ; ren et al., 1995 ).
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