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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.

How can we do better to meet the information and learning needs of Community Health Workers?

In the health care sector, we should acknowledge that still there is inadequate coordination of resource sharing between key players especially for cross cutting issues like dissemination of CHWs' information services. 

Informal rural healthcare providers in North and South India (2)

I understand that IPs [informal healthcare providers] do know how to identify the ill-health conditions but then they wrongly prescribe. Does this mean that they lack the component 'treatment' in their training? I don't think so: the same article reports that 'international evidence suggests that training, on its own, has only a modest impact on performance'.
Reasons for excessive prescription of drugs have to be find in the global paradigm that 'wants' a doctor to be a doctor when he prescribes more.

"We have become doctors for ourselves": motives for malaria self-care among adults in southeastern Tanzania.

Background: Prompt and appropriate treatment of malaria with effective medicines remains necessary if malaria control goals are to be achieved. The theoretical concepts from self-care and the health belief model were used to examine the motivations for malaria self-care among the adult population.

Antibiotic prescribing practice in management of cough and/or diarrhoea in Moshi Municipality, Northern Tanzania: cross-sectional descriptive study

Introduction: The increase in resistance of many pathogens to currently available antibiotics has been recognized as life-threatening problem. The development of drug resistance is promoted by irrational prescribing behavior. Inappropriate use of antibiotics is attributed by over-prescription, inadequate dosage and use for non-bacterial infections. The purpose of this study was to assess antibiotic prescribing practices in the management of diarrhoea and cough among children attending hospitals in Moshi municipal, Tanzania.

Ebola in West Africa (8) Fear of Ebola Breeds a Terror of Physicians (2)

You mention that it may not help confidence that the medical teams wear top-to-toe protective suits and masks? Are these white? If so that puts me in mind of a previous post, I think from a HIFA colleague in Kenya or Tanzania, who mentioned that some people were afraid of white mosquito nets, associating them with ghosts or spirits. So important to ensure thst interventions are culturally sensitive? But very tough in such an acute crisis.


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