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.
'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.
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.
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.
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.