This is an interesting posting and we thank Neil for sharing it.
From our experience in piloting PACK (Practical Approach to Care Kit) in Nigeria in 2017 in three states (Adamawa, Nasarawa, Ondo) in three of Nigeria's six geopolitical zones we reported the result that showed that non doctors in primary health care, who are not normally trained in the art of making diagnosis embraced PACK enthusiastically because as they reported 'it is easier to use' than existing guidelines', 'it clearly delineates their levels of competence beyond which they must refer to the next higher cadre', 'it clearly tells them when to refer and to who', 'it increased their competence', and 'using the guide makes patients respect them more', 'it directs them to stabilise emergency cases before referral', etc.
The medical doctors who are trained to be diagnosticians also found using PACK valuable because the content is based on current best evidence collated by the BMJ Evidence Centre and the guide is updated annually.
AFRICA CENTRE FOR CLINICAL GOVERNANCE RESEARCH & PATIENT SAFETY
@Health Resources International (HRI) WA.
National Implementing Organisation: 12-Pillar Clinical Governance
National Implementing Organisation: PACK Nigeria Programme for PHC
Publisher: Medical and Health Journals; Books and Periodicals.
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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: http://www.hifa.org/people/steering-group
jneana AT yahoo.co.uk