Neil thank you for sharing this very important report on sepsis. Your comment is also apt.
In addition to antibiotic resistance, poor quality care like lack of hand washing, etc there is also the matter of delay in implementing study / pilot evidence that demonstrate improvement in competence of clinicians like improved diagnosis and treatment accuracy that would catch cases of sepsis early and both stabilize the patient and appropriately refer early.
I recall that on HIFA forum we discussed 'evidence informed policy making', but our recent experience suggests that many LMICs are still far from the practice. Which is a shame really because deadly conditions like sepsis, whose recognition and management early in their occurrence, can better be dealt with if policy makers promote and encourage practice of implementation of positive and beneficial evidence! Especially when such evidence is derived locally !!
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