Najeeb al-Shorbaji hit the nail on the head last year when he wrote in a submission to this email list: "Health workers and most practitioners in the field do not need scientific articles written by academicians. They need practical information, best practices, case studies, stories from the field, lessons learned and guidance on how to do things".
At Africa Health journal, that is precisely what we have tried to do since launch in October 1978.
There is no other service I am aware of in Africa which provides practical and relevant coverage to health professionals... most of whom do not (or cannot) go online for continuing professional development reading. Paper remains the medium of choice for most health professionals. Digital access is growing, but as we all know there remain constraints particularly outside the big cities.