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Policymaking / Health systems / Public health

re - Indigenous medicine and biomedical health care in fragile settings: insights from Burundi

Two University Dons/academics differed on the question of the causes of cancer, particularly whether cancer can be caused by 'evil spirits'?- one was categoric that there is no such causality whilst the other said there is!

So long as such ambivalence remains in the very place (university) that the public look to for answers to this type of critical questions, confusion shall continue to reign - the public will continue to delay their access to evidence proven health service by going to little researched and understood traditional medicine practitioners / herbalists etc. 

Africa Health (4)

All my career years in WHO (over 29 years) I always believed that the electronic publishing should not replace paper based publishing. They should complement each other. Publishers who think that electronic publishing should replace paper publishing are wrong. I made this position very clear and implemented it when I was director in WHO.

Commercialization of traditional medicine and Universal Health Coverage

The main challenge remains the uncompleted effort to properly define what traditional medicine is, where it starts and stops, codifying the huge armamentorium of herbs / medicines, and how it relates to newer terminology like 'alternative medicine', 'complementary medicine' , 'herbal medicine / herbalists', 'Native doctor', etc, etc.

Experiences and perceptions of online continuing professional development among clinicians in sub-Saharan Africa

Slow internet connection is a big challenge for health workers, researchers, authors and policy makers  in LMICs. Equally, if not bigger, is the challenge of cost of the internet access  especially if one tries to download materials. Reliability and consistency of connection adds to the list especially when using conferencing tools like Skype, etc. The light at the end of the tunnel is the fact that only a few years ago ( in 1995 only a handful of people had emails in Nigeria) we never thought that we would even be where we are today.

Systematic Reviews (49) Q3 What is the role of SRs versus local research? (7)

There are problems with relying mainly on local evidence when the local researh culture is weak, mainly observational, and often not peer reviewed. The whole architecture of reading, writing and publishing is faulty because the demands of 'publish or perish' encourages quantity rather than quality. Scholarship is better when it is global / international in scope and scrutiny. Context is important but before localising content it is even more important that the fundamentals meet international best practice.

World Health Day 2017: Depression (2) Mental health in Nigeria

The country (Nigeria) is generally short of physicians and, with a population of over 120 million, has less than 100 psychiatrists. The bulk of psychiatric service is provided by the eight regional psychiatric hospitals and the departments of psychiatry in 12 medical schools. A number of general hospitals also provide psychiatric services. Despite these facilities, mental health care remains inadequate.

CHW Programmes in the WHO African Region (6)

...CHWs in many countries go beyond volunteer jobs through nomination by the Community to aid primary health care service delivery. It is very clear now that CHWs are now more of professional people than ever thought and even conceptualized by the World bodies. They now have more greater roles and higher career pathway.

Forum 2015 - Access to Health Research: Q2. What more can be done to make research freely available to users in LMICs? (2)

I make an observation that I made recently during my "day job" in West Africa.

Meeting the information needs of Users of Medicines: Encouraging citizens to ask questions

Dear all,

I have found a very interesting campaign (from 2003 to 2009) that aimed at increasing people's involvement in decisions about their use of medicines, called Ask About Medicines. 

It seems that the website is not available anymore, but the resources and materials can be found at the Patient Information Forum:


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