Growth monitoring and regular developmental assessments are key components of what all parents need in order to rest assured that their infants and toddlers are on track or, if not, so that they can intervene early on, before any deviations affect the child's future.
Health care (MD)
It is important to have a diagnosis done. For each medical contact a diagnosis must be 'suspected' by the doctor and then written down on the Health Booklet that the patient has with him.
There is a huge ignorance gap on health information as a whole in Nigeria, different studies done have shown inadequacies in the knowledge of people on different health issues. Hypertension is also an often misunderstood issue with regards to its causes and treatments. A lot of patients in Nigeria who have been diagnosed of hypertension are not compliant with their drugs, in a lot of cases this is due to them not understanding how management of hypertension works, the next time some of them appear in the clinic, they would have been down with complications.
The current figures and the projections of the deaths and cost that result from inappropriate and excessive prescribing of drugs, are staggering. Let me also add that besides the BNF, other countries and NGOs also have their formularies. Sometimes the guidance in these formularies varies, which creates confusion for the users.
Labeling of drugs and devices in Sri Lanka are done mainly in English. Lobbying by academics to change this situation has had limited success. On Sept. 21, 2012, the Ministry of Health ordered that all pharmaceutical manufacturers and importers to label in Sinhala and Tamil (native languages for most Sri Lankans) in addition to English.
Can someone share guidelines of developing clinical tools, particularly in the area of non-communicable diseases? I am particularly referring to clinical tools for the prevention and control of non-communicable diseases in LMICS. I would like to use them in Rwanda. I have checked resources in Rwanda to see whether there are some that have been published, but in vain.
Generally, CHW's sort themselves into two groups: older, more seasoned & settled workers who value their work and are valued by the community, and younger, often more educated and more ambitious workers. The former are often content to continue their work, and remain settled. The latter, to remain content, need opportunities for advanced training, and if adequately educated, a career ladder which may take them out of the community.
CHW's are unique in the provision of community based health care in that ideally, they, like the Greek god Janus, are two faced...but in a positive, not a pejorative sense. CHW's should answer both to the community that they serve, and to the health professionals with whom they serve.
In our setting in Nigeria where Community Health Workers are skilled / trained / certificated workers (in Nigeria the term CHW is interchangeable with Primary Health workers and infact it includes medical officers), the evidence is that in addition to attitude, training, monitoring and other factors listed in this paper, training the non medical doctor CHWs (Junior Community Health Extension Workers (JCHEWs), Community Health Extension Workers (CHEWs), Community Health Officers (CHOs), Nurses, Midwives) to manage patients by working to Guidelines is necessary if good clinical outcomes are t
Many researches that are carried out as dissertations in part fulfilment for medical fellowships do not get published. The reason being that such research was a means to achieve an end - the fellowship.
Many (probably most) are self funded. These researches are probably some of the most rigorous in terms of design and execution. It is thus a great loss that they are not published.