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Barriers and facilitators to health information exchange in low- and middle-income country settings: a systematic review

The exchange and use of health information can help healthcare professionals and policymakers make informed decisions on ways of improving patient and population health. Many low- and middle-income countries (LMICs) have however failed to embrace the approaches and technologies to facilitate health information exchange (HIE). We sought to understand the barriers and facilitators to the implementation and adoption of HIE in LMICs.

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.

WHO country offices as knowledge brokers?

I believe that in some countries, there is room for WHO to play a role to improve the uptake of scientific evidence by policy- and decision- makers. Academics and researchers too often think that if they publish their findings in scientific journals, or produce reports, and give talks in conferences, policymakers and decision makers will get to know their work, will trust them and will base their work on the evidence they produce. But there is an infinite number of barriers between them and those who should use their findings.

Evidence-informed country-level policy-making (9)

The concept of informed country level policy making is a very juvenile concept in least developed nations. In the resource constraint setting where very low percentage of budget is allocated for health, evidence based making of health policy is rarely practised.




IRIN: Psychologists stay home: Nepal doesn't need you (2)

Sometimes driven by our generosity we forget to account the actual need of the very people we are trying to help. Last Saturday I visited remote villages of earthquake affected Dhading district where indegenous "Chepan "community live.

I ask one question to all of them, what three things they need most? To my surprise their answer was "Corrugated sheet" "Corrugated sheet" and "Corrugated sheet".
And another question, what three things they want to build with "Corrugated sheet". They prioritise as rebuilding 1. Their homes 2. School 3. Health post.

Earthquake in Nepal (54) Poisoning with "antiseptic hand wash"

I am sending this message just to communicate one incident, when one elder man was brought in emergency with alleged poisoning with "antiseptic hand wash" distributed by relief team. He drank the solution because he thought it was "juice". Although the situation was not serious at all and the person was sent back with few antacid, it shows how things may go wrong if we send goods or even medicine without proper situation analysis.

Act now, or face catastrophic post-antibiotic era! (4)

So whatever doctor prescribe is based on availability of nearby private pharmacy. Big pharmaceutical companies give a lot bribe to doctors asking them to prescribe their drugs. A recent research have shown a huge difference in price of same medicine brought by different companies. Here patient die not due to lack of primary health care but because of expensive drugs which they can't afford.

Wikimedia Zero - free mobile access to Wikipedia

Wikimedia Zero is an agreement Wikipedia has with many cell phone providers to allow Wikipedia use for free without data charges. Current agreements have been signed that benefit / will benefit 500 to 750 million people. It launched in Nepal just a few weeks ago and is already available in parts of Africa, Asia and the Middle East.

Early pregnancy detection by female community health volunteers in Nepal facilitated referral for appropriate reproductive health services

ABSTRACT: Background: Female community health volunteers (FCHVs) are a possible entry point for Nepali women to access timely reproductive health services at the village level. This evaluation assessed the success of a pilot program that trained FCHVs in early pregnancy detection using urine pregnancy tests (UPTs), counseling, and referral to appropriate antenatal, safe abortion, or family planning services. 


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