Making ref/educational materials available
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.
Healthcare organisations are increasingly providing information and services using digital technologies - online and mobile. But we risk widening health inequalities because the people who most need healthcare are the least likely to be online (in particular older people, people with low incomes, people with lower educational levels, and people in rural areas with poor broadband connectivity).
Objectives: To assess knowledge, pregnancy attitudes and contraceptive practices in relation to the Zika virus outbreak in Brazil.
Methods: We interviewed 526 women 18 to 49 years old in primary health services in a Northeastern capital of Brazil, in 2016. They provided information about their knowledge of Zika transmission and health consequences, their receipt of counseling related to sexual and perinatal transmission of Zika, their pregnancy intentions and reassessment of contraceptive options in the context of the Zika virus outbreak.
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.
e-learning resources need to be customised to the audience and learners to make them culturally relevant. The ‘Palliative care e-learning resource for health care professionals in India’ has been developed by the Karunashraya Hospice, Bengaluru in collaboration with the Cardiff Palliative Care Education Team, Wales to address the training needs of professionals in India.
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.