Dear Neil and Joseph, true what you write "doctors succumb to the pressure of patients to overprescribe..."
However accept the following:
1) overprescription occurs more in private than public settings, for obvious reasons, one being more profit, and not certainly more medicine.
2) if people are thouroughly examined by doctor, in my case *if* I examine properly the child, if ask history to mother, if I show professionality in my behaviour... than I can also obtain from the mother the acceptance that child is 'not so serious' and in few days he/she will be better. Without antibiotics.
Here now it is a matter of time spent for each child...or of burden of work for each doctor...or as you said in a previous letter of little incentive$ given to doctors. The last is true anyhow.
Greetings from Dodoma
HIFA profile: Massimo Serventi is a long-standing Pediatrician working in Africa since 1982. He has worked for several NGOs in 6 African/2 Asian countries. His interests include clinical and community pediatrics, adherence to clinical guidelines and school education as the major determinant of good health. massimoser20 AT gmail.com