I agree very much with Nicholas Cunningham on the importance of involving mothers -- and older siblings and schoolchildren -- in the use and understanding of growth monitoring, using a clear, graphic, easy-to-use "Road to Health" chart. In remote rural areas of Mexico a lot of families with children live in isolated small farms far away from a health post.
North and South America
Objectives: To assess knowledge, pregnancy attitudes and contraceptive practices in relation to the Zika virus outbreak in Brazil.
Methods: We interviewed 526 women 18 to 49 years old in primary health services in a Northeastern capital of Brazil, in 2016. They provided information about their knowledge of Zika transmission and health consequences, their receipt of counseling related to sexual and perinatal transmission of Zika, their pregnancy intentions and reassessment of contraceptive options in the context of the Zika virus outbreak.
Not everything need be or can be done at once. But some simple measures could make a substantial difference. For example "severe" postpartum bleeding is a major cause of maternal mortality in poor communities where up to 70% of women are visibly anemic, many of them severely so. Provision of oxytocics to TBAs, with adequate precautionary training to use only after the baby is delivered, could probably save a large number of women's lives...
1) Improve the relationship between the people and their institution by having short educational talks in areas where patients congregate. Best done in smaller facilities. We did this in Nicaragua with the Sadinista health system in the mid 80's. If we talk with people instead of to them, there will be a dialogue. Otherwise it will be a one way blah-blah-blah street.
I'd like to share with everyone a new mHealth resource, called mHealth Knowledge, from the Knowledge for Health Project (K4H), funded by USAID. mHealth Knowledge is a one-stop shop for mHealth resources and more. From it, you can access Take the mHealth Basics eLearning Course: Introduction to Mobile Technology for Health, search the latest research and literature via the mHealth Evidence Database, and access guidance and tools for planning your next mHealth effort with The mHealth Planning Guide: Key Considerations for Integrating Mobile Technology into Health Programs. Please go to the
Over the past half-century, community health workers (CHWs) have been a growing force for extending health care and improving the health of populations. Following their introduction in the 1970s, many large-scale CHW programs declined during the 1980s, but CHW programs throughout the world more recently have seen marked growth.