Massimo, thank you again for your latest comment on AMR:
'---- It is a deontological mistake to write a list of drugs on a leaflet without justification of them, yet this is a worldwide mal-practice'
WHO and other global bodies have rightly been highlighting the fact to mostly practitioners. But practitioners even those who are convinced that they should practice based on evidence of what works, often succumb to pressure from patients / community to over prescribe and thereby abuse antibiotics.
I believe that to be more effective, it is time for WHO, Governments, and other global bodies to spend more time and other resources to direct their campaign to the community, whether urban or rural, whether literate or illiterate, and in multiple local languages. Global community education on the ills of AMR directed at the patient and community will complement practitioner eveidence based practice, if there is less irrational pressure on the prescriber.
HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
Email: jneana AT yahoo.co.uk