Over the past two years we have examined the impact of mobile technology among a sample of smallholder farmers and traders in Zimbabwe. One of our findings indicates the extent to which mobile phones have become so addictive in ways that undermine relationships and even potential income. If a poor farmer spends the equivalent of a goat to buy airtime monthly but cannot see the value of the information gained through calling or sms, it's difficult to conclude that mobile phones are beneficial. In most cases, those using mobile phones regularly have not moved out of poverty better than those
Development / Communication / Administration
Taking a collective learning research approach could generate more useful insights on this important issue. The fragmentation of practical medical knowledge suggests we can generate more progress by looking at medical knowledge as a nested set rather than as a hierarchy. At the moment, medical practice is researched and presented as competition between modern medical health practices and traditional medical practices, with an expectation for modern medicine to win this 'Olympic' competition.
I agree very much with Nicholas Cunningham on the importance of involving mothers -- and older siblings and schoolchildren -- in the use and understanding of growth monitoring, using a clear, graphic, easy-to-use "Road to Health" chart. In remote rural areas of Mexico a lot of families with children live in isolated small farms far away from a health post.
I don't know how we can go beyond journals. In addition to the fact that journals fulfil a limited need, many African health practitioners are too overwhelmed to seat down and write an article on their daily experiences & tie this with broad health literature. If we limit knowledge sharing to journals and their rigorous reviewing processes, we miss a lot of real-time 'truths'. Emphasis on journals suggest the written word is the only way knowledge about health issues can travel.
I wonder how good NHS Choices is and whether each country should have its own “health website” or if it could somehow be streamlined. Is there a case for interlinking wit the Medical Wikipedia better so that efforts are not duplicated? Is NHC Choices perhaps already using content from Medical Wikipedia, or vice versa?
In our part of South Asia, particularly the rural societies in particular and the people in general also are not much appreciative of exposing the children and adolescent to sex education at a rather early age. This reminds me of an incident of about 15 years back. There was a children festival going on under which there was a book fair. In the book fair, there were booths taken by private, govt and NGO publishers. When a mother was buying books for her 10 year old daughter from an NGO booth, a book on reproductive health was given free in the shopping bag.
Thus, it's a multifactoral issue involving several areas from upbringing (social-cultural) factors; in most African societies like where I come from people have been sensitized that the more drugs you get the better and also that 1st line drugs are no good e.g. paracetamol, secondly people /clients prefer to spend money at a private clinic/hospital because it is assumed they will get better drugs as compared to government/public hospitals.
1. Health providers (doctor, clinical officer,nurse etc) should have adequate time with each consumer (client/patient) of health services. At least 20-30 minutes if possible. This will assist to get the complaints, assess, investigate (laboratory, radiology) and make a diagnosis/provisional diagnosis which will be a basis for prescribing
2. Health providers need to concentrate on what the consumer is saying (listen, observe, feel, ask) and not to rush in prescribing drugs even before the consumer has finished explaining as we see/observe happening in our many public facilities
The vast majority of Indian families and women do not follow the following practices, contributing significantly to the high prevalence of malnutrition and disease in children under five years of age:
- 75% of new mothers are anaemic and most put on less weight during pregnancy than they should.
- Colostrum is essential because it prepares the baby's digestive system for the mature milk that the baby will receive in the next few days.
We have Junior community workers here in Iraq, see our website: https://internationalmedicalcorps.org/2016_04_13_Story_Iraq_Junior_Healt...
This approach works very well, we also have a comic book that will shortly be animated
the kids love it!