Abstract
Did an Innovative Approach to Technical Assistance by Nurse Mentors improve PMTCT Standard of Practice among Community Health Extension Workers at Primary Health Care Centres in Ebonyi Nigeria?
Highlights
The drive to Universal Health Care coverage, and the need for strengthening health systems, has led to the examination of the role of core elements of the system such as surgery and radiology
Interpretation: This study suggests that, participation in shortterm service learning trips (
The organization of pathology systems is important, with advantages and disadvantages of different modalities ranging from point-of-care testing, to “labin-a-box” approaches, and a tiered networked system
Summary
The drive to Universal Health Care coverage, and the need for strengthening health systems, has led to the examination of the role of core elements of the system such as surgery and radiology. Pathology (which, along with radiology, is key to correct diagnosis and treatment), has been relatively neglected within the global health framework. Resource-constrained governments and patients paying out-ofpocket have tended to underestimate the importance of laboratory testing. International donors have looked to point-of-care tests as a way to overcome the difficult task of strengthening national laboratory networks. There is the danger of development of multi-drug resistance, inaccurate tissue diagnosis and delays in identifying new emerging epidemics. Needs-based approaches for assessing key healthcare policy issues must define how need should be measured and a standard level of healthcare resource use given need should be estimated. Different population choices can be used to establish this standard, though the implications of this choice on estimates historically has been ignored
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