[Re: https://www.hifa.org/dgroups-rss/sharing-cost-effective-reforms-save-mot... ]
Dear Neil,
Thank you for your very thoughtful response and for sharing the article with the HIFA community.
I fully agree with your emphasis on SOPs [standard operating procedures] in low-resource settings. In my experience, their absence often turns otherwise manageable emergencies into chaotic situations, with avoidable harm. When SOPs are practical, context-adapted, and consistently reinforced, they provide not only clinical guidance but also psychological safety for teams working under pressure.
I am especially grateful that you highlighted the concluding paragraph on trust and patient experience. In settings like rural Cambodia, respect, clear communication, and simple human gestures are often as life-saving as medications or equipment. Without trust, even the best clinical capacity remains underused...
Thank you also for reminding me of Andrew Pearson’s work — a classic that remains highly relevant today. ['Medical Administration for Front-Line Doctors: A Practical Guide to the Management of District-level Hospitals in the Public Service or in the Public Sector']
With kind regards,
Suren
HIFA profile: Suren Kanayan is the Administrative Manager at Central Hospital in Cambodia. Professional interests: Maternal and Child Health, Obstetrics & Gynecology Clinical Practice, Healthcare System Strengthening in LMICs, Telemedicine and Digital Health Platforms. Email: skan71 AT yahoo.com