scholarly journals Academic detailing

1970 ◽  
Vol 8 (1) ◽  
pp. 126-134
Author(s):  
PR Shankar ◽  
N Jha ◽  
RM Piryani ◽  
O Bajracharya ◽  
R Shrestha ◽  
...  
Keyword(s):  
Developing Countries ◽  
Pharmaceutical Industry ◽  
Rural Areas ◽  
Positive Reinforcement ◽  
Developed Countries ◽  
Evidence Based ◽  
Academic Detailing ◽  
Prescribing Practices ◽  
Educational Materials ◽  
Face To Face

There are a number of sources available to prescribers to stay up to date about medicines. Prescribers in rural areas in developing countries however, may not able to access some of them. Interventions to improve prescribing can be educational, managerial, and regulatory or use a mix of strategies. Detailing by the pharmaceutical industry is widespread. Academic detailing (AD) has been classically seen as a form of continuing medical education in which a trained health professional such as a physician or pharmacist visits physicians in their offices to provide evidence-based information. Face-to-face sessions, preferably on an individual basis, clear educational and behavioural objectives, establishing credibility with respect to objectivity, stimulating physician interaction, use of concise graphic educational materials, highlighting key messages, and when possible, providing positive reinforcement of improved practices in follow-up visits can increase success of AD initiatives. AD is common in developed countries and certain examples have been cited in this review. In developing countries the authors have come across reports of AD in Pakistan, Sudan, Argentina and Uruguay, Bihar state in India, Zambia, Cuba, Indonesia and Mexico. AD had a consistent, small but potentially significant impact on prescribing practices. AD has much less resources at its command compared to the efforts by the industry. Steps have to be taken to formally start AD in Nepal and there may be specific hindering factors similar to those in other developing nations. Key words: Academic detailing; pharmaceutical industry; evidence-based information DOI: 10.3126/kumj.v8i1.3235 Kathmandu University Medical Journal (2010), Vol. 8, No. 1, Issue 29,126-134

Pharmaceutical industry sponsorship of academic conferences: ethics of conflict of interest

2020 ◽  
pp. medethics-2020-106224
Author(s):  
Saroj Jayasinghe
Keyword(s):  
Developing Countries ◽  
Pharmaceutical Industry ◽  
Ethical Issues ◽  
Social Trust ◽  
Medical Profession ◽  
Codes Of Conduct ◽  
Developed Countries ◽  
Professional Judgment ◽  
Conflicts Of Interests ◽  
Core Issue

Sponsorship of medical conferences by the pharmaceutical industry has led to many ethical issues, especially in resource-poor developing countries. The core issue in these instances is to reduce or avoid conflicts of interests (COIs). COI is a set of circumstances that creates a risk that professional judgment or actions regarding a primary interest will be unduly influenced by secondary interests. Disruption of social trust should also be considered. This deontological approach should be complemented by a consequentialist approach. Towards this, the concept of distal interests (DI) is introduced. DI lies beyond the immediately visible COIs and the consequences of immediate decisions. They are ‘distal’ in time or place: ‘DI in time’ means consequence of the decision in future scenarios, while ‘DI in space’ means those that impinge on other institutions or bodies. In judging the consequences, it is also necessary to consider the reality of the existing relationship between the pharmaceutical industry and organisers of conferences. In more developed countries, these relationships are governed by stricter regulations, adherence to codes of conduct by both parties and stronger institutional oversights. In contrast, developing countries such as Sri Lanka the regulatory environment is lax and the demarcation of interests between the pharmaceutical industry and the medical profession is considerably blurred. Therefore, establishing clear rules of engagement between the stakeholders should be considered as an attempt to clear the muddy waters. The paper proposes a set of guidelines to capture these approaches.

Clinical Decision Support System Adoption & Implementation in African Health Systems: A SWOT Analysis. (Preprint)

2021 ◽  
Author(s):  
Victoria Oluwafunmilola Kolawole
Keyword(s):  
Developing Countries ◽  
Decision Support ◽  
Health Systems ◽  
Clinical Decision Support ◽  
Clinical Decision Support System ◽  
Swot Analysis ◽  
Clinical Decision ◽  
Developed Countries ◽  
Evidence Based ◽  
African Health

BACKGROUND The clinical decision support system (CDSS) has been an important achievement of health technology in the 21st century. In developed countries, it has transformed the way health services are being delivered and has shown to be a tool that reduces medical errors and misdiagnoses in Healthcare. However, CDSS remains underutilized in developing countries in Africa. OBJECTIVE This study aims to review the literature to improve our understanding of the “strengths, weaknesses, opportunities and threats (SWOT)” associated with CDSS implementation in African health systems. METHODS This study included a literature review conducted in PubMed with a total of 19 articles between the year 2010 to date (past 10years) reviewed for key themes and categorized into one of 4 possible areas within the SWOT analysis. RESULTS Articles reviewed showed common strengths of efficiency at the workplace, Improved healthcare quality, benefits in developed countries, good examples of evidence-based decision making. unreliable electric power supply, inconsistent Internet connectivity, clinician's limited computer skills, and lack of enough published evidence of benefits in developing countries are listed as a weakness. The opportunities are high demand for evidence-based practice in healthcare, a strong demand for quality healthcare, growing interest to use modern technologies. The common threats identified are government policy, political instability, low funding and resistance of use by providers. CONCLUSIONS There’s the need to work on the technical, organizational and financial barriers to ensure high adoption and implementation of the CDSS in African Health systems. Also, the lag on the knowledge available on its impact in developing countries must be worked on by supporting more studies to add to the body of knowledge.

scholarly journals Prospects of Multifunctionality in Nepalese Agriculture: The Agritourism Perspectives

2019 ◽  
Vol 2 (1) ◽  
pp. 108-118
Author(s):  
Kumar Bhatta
Keyword(s):  
Developing Countries ◽  
Rural Development ◽  
Rural Areas ◽  
Agricultural Sector ◽  
Central Government ◽  
Developed Countries ◽  
Educational Background ◽  
Capital City ◽  
Sustainable Rural Development ◽  
Household Heads

Multi functionality of agriculture in the developed countries is employed as a means of rural revitalization and economic circulation. Although farm diversification in the developing countries is much more crucial, in most of the rural areas of the developing countries, it is not performed, and it is delayed. In this regard, the main objective of this study is to explore the possibilities of the multi functionality of agriculture for the sustainable rural development for the implementation of the sustainable development goals (SDGs) in the developing countries. The empirical study was conducted in two of the rural districts of Nepal called Nuwakot and Rasuwa. The author intentionally chose these districts because it is one separate area north of the capital city Kathmandu and bordering to China. Further, even though the location is nearby the capital city, and the rural villages have excessive potentials for tourism activities, the farmers are still focusing on subsistence farming without getting benefits from tourism. Based on the macro data of Nepal government and field visit, the author conducted a case study. This study explored that most of the household heads are working in the agricultural sector, which can be one of the opportunities to launch multi functionality of agriculture. However, due to their weak educational background, they are expecting external supports in terms of knowledge, technology, and more importantly, supportive policy. The federal and central government should give subsidy to the farmers so that they canstart multi functionality in their farms, which lead to sustainable rural development.

scholarly journals Co-production as deep engagement

2018 ◽  
Vol 31 (1) ◽  
pp. 81-96 ◽  
Author(s):  
Mary S. Mangai ◽  
Michiel S. De Vries
Keyword(s):  
Developing Countries ◽  
Community Involvement ◽  
Rural Areas ◽  
Developed Countries ◽  
Water Sources ◽  
Clean Water ◽  
Content Type ◽  
Care Giving ◽  
Domestic Use ◽  
Philosophical Framework

Purpose While there is an urgent need for clean water in Ghana and Nigeria, governments lack the financial means to do much to address this need. This does not mean that improving access to clean water is impossible. On the contrary, this paper argued that engaging citizens through co-production, as is already being done in developed countries in the fields of care-giving, waste management, healthcare and community policing, could provide a successful strategy. The purpose of this paper is to examine how public water facilities are being managed to improve and sustain access to clean water for domestic use in rural areas in Ghana and Nigeria. Design/methodology/approach A survey interview with households and in-depth interviews with water professionals were conducted in Ghana and Nigeria to help the authors understand the practicalities of the co-production of clean water and how this is improving and maintaining access to clean water sources. The paper draws on a philosophical framework of “deep” citizen engagement to describe the merits of co-production and how it works in practice in developing countries. Findings Based on the interviews with officials and surveys among the population of rural areas in the two countries studied, the authors found that the two countries vary significantly in their approach to water management decisions and the extent to which citizens are involved. Ghana’s approach seems much more successful than Nigeria when it comes to maintaining boreholes for water supply with the help of the population. In Nigeria, three-quarters of the public water facilities are non-functional, while in Ghana, community involvement in maintaining public water facilities has resulted in the sustained use of boreholes and eliminated the lack of access to clean water in many communities. Originality/value This paper contributes to the practical understanding of co-production in developing countries and the potential of such co-production in improving clean water access. To the best of the authors’ knowledge, no previous scientific research has studied how co-production can improve and sustain access specifically to clean water sources in developing countries, and this paper aimed to fill this gap.

Multi-utility framework: blockchain exchange platform for sustainable development

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jacques Bou Abdo ◽  
Sherali Zeadally
Keyword(s):  
Sustainable Development ◽  
Developing Countries ◽  
Rural Areas ◽  
Business Models ◽  
Rainwater Harvesting ◽  
Developed Countries ◽  
Peer To Peer ◽  
Content Type ◽  
Sustainable Solutions ◽  
Blockchain Technology

Purpose The purpose of this paper is to design a sustainable development platform for water and energy peer-to-peer trading that is financially and economically feasible. Water and other resources are becoming scarcer every day, and developing countries are the neediest for an immediate intervention. Water, as a national need, is considered to be one of the most precious commodities, but it is also one of the main causes for conflicts in the 21st century. Rainwater harvesting and peer-to-peer trading of the harvested water is one of the most convenient, scalable and sustainable solutions but faces organization challenges such as the absence of suitable business models motivating normal users to sell their generated resources (such as water and energy), currency and financial settlement complexities and single utility markets. Design/methodology/approach This paper proposes a multi-utility trading platform based on the blockchain technology which can address the challenges faced by peer-to-peer trading for resources such as energy and water. Findings This paper presents a peer-to-peer multi-utility trading platform that solves the shortcomings of existing utility frameworks reported in the current literature. Originality/value This proposed platform meets the needs of developing countries as well as rural areas of developed countries. The open nature of the proposed design makes it suitable for adoption and use by various stakeholders.

scholarly journals Universal Particulars towards Maternal Health Circumstance

2019 ◽  
Vol 7 ◽  
pp. 27-34
Author(s):  
Sushil Sharma
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Maternal Health ◽  
Maternal Death ◽  
Health Problem ◽  
Rural Areas ◽  
Developed Countries ◽  
Affecting Factors ◽  
Least Developed Countries ◽  
Pregnancy And Delivery

Maternal health is a crucial health problem in developing countries, especially in low resource settings, rural and poor communities. The main aim of this paper is to critically evaluate and explore the situation of maternal health care in Nepal. After reviewing the literature, I found that there are several direct and indirect causes as well as affecting factors in regarding maternal death in developing and least developed countries. In developing countries, women have been facing different problems during pregnancy and delivery period. Knowledge of maternal health and assessable health facilities are most essential in rural areas to save mothers from preventable maternal death.

Rural Development in Malaysia-Issues and Problems Conf ronting MADA, FELDA and RISDA1

1980 ◽  
Vol 8 (1) ◽  
pp. 64-86
Author(s):  
Alex Yui-Huen Kwan
Keyword(s):  
Developing Countries ◽  
Rural Development ◽  
Rural Areas ◽  
Developed Countries ◽  
Family Farms ◽  
Quarter Century ◽  
Economic Relationships ◽  
The World ◽  
The Developed Countries ◽  
The Third World

AbstractAsia is predominantly a rural society. And yet, a quarter century ago, when the Asian countries emerged as politically independent nations from centuries of colonial rule, they adopted a development model2 which was indifferent if not inimical to rural development. Support for this model, which essentially permitted continuation of existing international economic relationships, came from two external sources-the developed countries of the West and the developed centrally planned countries.3 Recent years have also witnessed a heightened concern in the Third World countries over the problem of economic development. In most developing countries, past development efforts appear to have failed to bring about a real development breakthrough. Yet the recent spate of world economic crises, associated with global inflation-cum-recession, oil price increases, food shortages, instabilities in the world commodity markets, have hit many developing countries very hard, especially those in South Asia which have actually experienced a reduction in average per capita living standards over the past few years. In Malaysia, some even suggested that although money income has gone up, there are disquieting signs that the quality of life is deteriorating and that many people are finding it more and more difficult to satisfy their basic needs.4 Then the crisis of the world's agriculture and its peasant masses had led to the proposal of a number of development strategies in the rural areas (i.e. Redistribution of land; Abolition of rents and tenant arrangements; Landholding reform; Intensification of peasant agriculture; Family farms; Cooperatives; and Collective farms, etc.), all of which have been tried with more or less success in different parts of the world. Within this paper, we will specially look at the rural development efforts of Malaysia, especially some of the issues and problems encountered by some of it's rural development programmes.

The school drop-out or rather “push out” problem in the South and in the North

2019 ◽  
Vol 20 (2) ◽  
pp. 61-75
Author(s):  
Birgit Brock-Utne ◽  
Torill Aagot Halvorsen ◽  
Mwajuma Vuzo
Keyword(s):  
Developing Countries ◽  
Rural Areas ◽  
Developed Countries ◽  
Drop Out ◽  
Dropping Out ◽  
The South ◽  
Ethnographic Interviews ◽  
The North ◽  
School Drop Out ◽  
Out Of School

Both in developing countries in the South and developed countries in the North a large portion of pupils from each cohort drop out or, maybe more correctly described, are pushed out of school each year. In the South, there is also a considerable portion of school-aged children who do not attend school at all. The article examines selected data collected from ethnographic interviews, during a Norwegian ongoing longitudinal project, and a survey in Tanzania, and other developing countries. We ask the questions: What are the reasons for this situation? Are the reasons the same in the South as in the North? In this article examples will be given from a country in the North, Norway and a country in the South, Tanzania. What do we know about the reasons for dropping out of school in these two countries? Who are the children dropping out? From which social class do they come? Are they from urban or rural areas? Were there more boys or more girls? What happens to the children after they drop out of school? How much is the school itself to blame for the situation? How relevant is what is learnt in school to the life children lead and their job prospects? What could have been done differently in order to retain children in school in the South, exemplified by Tanzania, and the North exemplified by Norway?

scholarly journals Determinants of Growth Retardation in Pakistani Children under Five Years of Age

2001 ◽  
Vol 40 (4II) ◽  
pp. 1009-1031 ◽  
Author(s):  
M Arshad Mahmood
Keyword(s):  
Developing Countries ◽  
Child Mortality ◽  
Rural Areas ◽  
Well Being ◽  
Developed Countries ◽  
Demographic And Health Surveys ◽  
Asian Countries ◽  
Mortality And Morbidity ◽  
The World ◽  
Infant And Child Mortality

Ensuring the survival and well being of children is a concern of families, communities, and nations throughout the world. Since the turn of the 20th century infant and child mortality in more developed countries has steadily declined and, currently, has been reduced to almost minimal levels. In contrast, although infant and child mortality has declined in the past three decades in most less developed countries, the pace of change and the magnitude of improvement vary considerably from one country to another. Children are at risk of both mortality and morbidity. The problem of malnutrition is widespread in developing countries and particularly severe in South Asian countries, where almost fifty percent of the undernourished children of the world live [Carlson and Wardlaw (1990)]. Rural populations are especially prone to malnutrition because they are more likely to be poor [Tinger (1998)]. The analysis of Demographic and Health Surveys (DHS) in 19 developing countries shows that children living in rural areas are more likely to be malnourished [Sommerfelt and Stewart (1994)].

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