Hi all friends of Hifa.
In answer to the post of Martin Carroll on 'Amazon offer of algorithm for treatment of minor ailments' I'd add the following comments:
National Clinical-Therapeutic Guidelines (NCTG).
Each country should produce such book and distribute it everywhere there is a prescriber. In absence of it Guidelines from WHO are suitable. Never...never accept guidelines from international NGOs or Agencies.
Prescription should be written on the health booklet that is permanently in the hands of patient.
Diagnosis is important: in its absence drugs wont be refunded or delivered whatsoever.
Therapy must match the diagnosis, in strict adherence to the NCTG.
Italy, my country, has 9000 different drugs in the pharmacies, however medicine of evidence says that 200 drugs are enough to treat adequately all disease worldwide. The consequence of it is that people are prescribed in excess, sophysticated drugs instead of effective and cheap alternatives.
It is my impression and worry that Africa is on the way of Italy: drugs all over, pharmacies all over, absence of rules that discipline the matter, quite a number of religious/nonxprofit clinics that prescribe and sell drugs. Drugs and lab tests.
I warn you dear African colleagues: with this trend your Countries will spend more and more for (unnecessary) drugs, your people will be more and more impoverished and resistance to antibiotics will cause deaths, many.
Remember that pharmaceutical companies are mainly in rich countries, they have All Interest to attract your attention, to exploit you once again.
Be concerned, do not leave drugs in the hands of private system without strict-regular-accurate control. There is no ethic in businness, and drugs mean money$$.
Greetings from Dodoma
HIFA profile: Massimo Serventi is a long-standing Pediatrician working in Africa since 1982. He currently works on a volunteer basis in an excellent missionary/credited hospital in north Uganda, St. Mary's Hospital-Lacor-GULU. 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