Lack of healthcare information leads to death and suffering
“The studies suggest a gross lack of knowledge about the basics on how to diagnose and manage common diseases, going right across the health workforce and often associated with suboptimal, ineffective and dangerous health care practices [indicating] that modern medicine, even at a basic level, has largely failed the majority of the world's population.” Pakenham-Walsh N & Bukachi F 2009
“It is a shameful fact that people are still dying because their healthcare workers don’t have access to the information they need.” Virginia Barbour, Editor-in-Chief, PLoS Medicine, 2011
Examples: Child health
Diarrhoea
Every child with acute diarrhoea should receive increased fluids to prevent death from dehydration. However, many parents continue to believe children should receive less to drink than normal. In India, for example, a national survey found that more than half of children with acute diarrhoea receive less to drink than normal (and one in 20 receive no fluids at all), thereby tragically increasing their risk of death. The survey also showed that 1 in 5 children with diarrhoea seen by a health worker are inappropriately given antibiotics. Such basic errors in care contribute to hundreds of child deaths from diarrhoea every day in India alone. [1]
Pneumonia
8 in 10 caregivers in developing countries do not know the two key symptoms of childhood pneumonia - fast and difficult breathing - which indicate the need for urgent treatment (only 1 in 3 children with pneumonia receive antibiotics - despite wide availability - and 800,000 consequently die each year) [2,3]
Malaria
7 in 10 children with malaria treated at home are mismanaged, contributing to 2000 deaths every day in Africa alone. [4]
Common child killers
7 in 10 doctors caring for sick children in district hospitals in Bangladesh, Dominican Republic, Ethiopia, Indonesia, Philippines, Tanzania, and Uganda had poor basic knowledge of leading causes of child death such as childhood pneumonia, severe malnutrition, and sepsis. [5]
Examples: Adult health
Hypertension
4 in 10 family doctors in Pakistan prescribed tranquilisers as first-line treatment for hypertension. [6]
Postpartum haemorrhage
7 in 10 women giving birth in health facilities in Africa and South Asia were mismanaged during the 3rd stage of labour, predisposing them to postpartum haemorrhage. PPH kills more than 300 young women every day in the developing world. [7]
Tuberculosis
More than 9 in 10 prescriptions for tuberculosis in India are incorrect, predisposing those patients and the general population to multi-drug-resistant tuberculosis in the future. [8]
Importantly, this situation is not the fault of healthcare providers. Healthcare providers can only function effectively if their basic needs are met, including access to healthcare information.
References
[2] Wardlaw T et al. Pneumonia: the leading killer of children. Lancet 2006;368:1048-50
[3] UNICEF. State of the World's Children 2012.
Further reading
- Godlee F, Pakenham-Walsh N, Ncayiyana D, Cohen B, Packer A. Can we achieve health information for all by 2015? Lancet 2004;364(9430):295-300 (Free Access)
- Pakenham-Walsh N & Bukachi F. Information needs of health care workers in developing countries: a literature review with a focus on Africa. Human Resources for Health 2009, 7:30 doi:10.1186/1478-4491-7-30 (Open Access)
- Pakenham-Walsh N. Towards a Collective Understanding of the Information Needs of Health Care Providers in Low-Income Countries, and How to Meet Them. Journal of Health Communication, Volume 17, Supplement 2, 2012 (Open Access)