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Request for translation: Perspectives of keystakeholders regarding task shifting of care for HIV patients in Mozambique (4) Abstracts of research from Mozambique should be routinely available in Portuguese

Regarding Neil's request for comments on "how we can move towards a world where abstracts are routinely available in the language of the country where the research was undertaken", I think journals should put it as a prerequisite for publishing. I do not know to what extent authors can demand the publication of translated abstracts to certain journals (mainly in paper format). Nevertheless, both authors and journal editors should be aware of the importance of this issue. Therefore, actions to create that awareness should target both sides.


Using theory and formative research to design interventions to improve community health worker motivation, retention and performance in Mozambique and Uganda.

ABSTRACT (provisional)
Background: Community health workers (CHWs) are increasingly being used in low-income countries to address human resources shortages, yet there remain few effective, evidence-based strategies for addressing the enduring programmatic constraints of worker motivation, retention and performance. This paper describes how two interventions were designed by the Innovations at Scale for Community Access and Lasting Effects (inSCALE) project to address these constraints in Uganda and Mozambique drawing on behavioural theory and formative research results. 

Information on Medicines for All - Use of medicines in Mozambique

In Mozambique, as in many other countries, most of the medicines are dispensed with little or no written information. This means that the information is transmitted mostly orally, which can have serious consequences, not only regarding the quality of information they may receive (which vary substantially), but also regarding the information they will bring and keep home to recall or consult when they need. 

Use of mobile phones to support Community Health Workers (6)

"It is important that phones are used as part of wider programme strengthening efforts, and are used within the existing structures.  There are additional benefits if mobile phones are used by both CHWs and their supervisors..."
"As part of extensive formative research [in Uganda], it was established that being able to perform to the best of their ability and have access to their supervisors was highly motivating for the VHTs..."

Why are publishers participating in developing country access initiatives? (3) WHO slow to respond over homeopathy for HIV and malaria (2)

Re Justus Krabshuis' comment below that we should name the homeopathic treatments which do not work: it would be a far shorter list and more scientifically justified to state which homeopathic remedies HAVE been shown to work. A list of those which 'do not work' (by which, I suppose he means 'have been studied in randomized controlled trials and found no treatment effect' would also be a good idea.

Mid-level providers in emergency obstetric and newborn health care

I am an American-trained family doctor, currently teaching in a medical school in Mozambique. I do not believe that using mid-level providers in any way corresponds to lesser or inferior care. The Chinese use surgical technicians extensively, even to reattach severed limbs. In the US, mid-level providers (nurse practitioners and physicians’ assistants) are used extensively in primary care.

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