Following research with more than 600 people living with a terminal illness or caring for someone at the end of life, Compassion in Dying has published an innovative new booklet: What now? Questions to ask after a terminal diagnosis. 'What now? is designed to help people ask questions and find the information they need, so that they can make informed decisions about their treatment and care – helping them to live well in the time they have left. 'What now?
Understanding information needs
In Zimbabwe there are a lot of snake bite especially at the beginning of rain season. Many people lose lives due to delays mostly in seeking modern medicines. There is need to involve those in traditional medicine practice to come up with standardized care.
Background: The recent WHO report on health promotion interventions for maternal and newborn health recommends birth preparedness and complications readiness interventions to increase the use of skilled care at birth and to increase timely use of facility care for obstetric and newborn complications. However, these interventions are complex and relate strongly to the context in which they are implemented. In this article we explore factors to consider when implementing these interventions.
Building upon the successes of Countdown to 2015, Countdown to 2030 aims to support the monitoring and measurement of women's, children's, and adolescents' health in the 81 countries that account for 95% of maternal and 90% of all child deaths worldwide. To achieve the Sustainable Development Goals by 2030, the rate of decline in prevalence of maternal and child mortality, stillbirths, and stunting among children younger than 5 years of age needs to accelerate considerably compared with progress since 2000.
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.
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.
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.
Some factors that might be attributed to too much medicine may include the following:
Some Lab. Technicians and to a lesser extent pharmacists prescribe drugs for their friends, colleagues and relatives on request outside patientclerking;
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.
'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.