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Effective, polyvalent, affordable antivenom needed to treat snakebite in Nepal

'Many Nepalese depend on traditional healers and or do not seek hospital treatment because they consider themselves to be too poor to pay for treatment, or think there will be no benefit. If the numbers of out-of-hospital deaths caused by snakebite are to be reduced in Nepal, there needs to be improvements in the public awareness of the benefits of snakebite treatment in hospital and in the pre-hospital care of snakebite – as seen, for example, in Sri Lanka.

BMJ: Too much medicine (7)

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

10 Best resources for community engagement in implementation research

Implementation research (IR) focuses on understanding how and why interventions produce their effects in a given context. This often requires engaging a broad array of stakeholders at multiple levels of the health system. Whereas a variety of tools and approaches exist to facilitate stakeholder engagement at the national or institutional level, there is a substantial gap in the IR literature about how best to do this at the local or community level.

Medical Aid Films - New film empowering girls and women with knowledge about processes that occur during puberty

The lack of effective reproductive health education and sanitary products are some of the key factors resulting in as many at 1 million girls in Kenya not going to school. Girls in Uganda have been found to miss up to eight days of school each term (11% of their total learning days each year) for the same reasons, and it has been estimated that 1/10 girls across the whole of Africa will miss school when they have their period.

Hypertension, ignorance and access to helpful information

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.

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