This blog is contributed by Dr Neil Pakenham-Walsh, Coordinator of HIFA2015 , the global campaign and email forum focussed on informed healthcare provision in developing countries. We in richer countries take for granted that our healthcare providers have access to the information they need to make informed decisions...
Every person has access to a healthcare provider. (Nearly every person – there are sadly a number of people who are destitute, utterly alone and abandoned by everyone around them.) I use the term ‘healthcare provider’ to mean anyone who is responsible for providing care at any moment, including and especially parents and family caregivers. Even the very poor have access to a healthcare provider.
The problem is, if you are one of the world’s majority poor, the chances are that your healthcare provider will be uninformed. As a result, you are likely to receive ineffective or harmful care, and you may die simply as a result of this care.
You are most likely to die in the home or local community, without seeing a trained health worker. The most high-level healthcare provider present in your final hours and minutes may be your mother, a family caregiver, a traditional healer, a village health worker or perhaps a midlevel health worker. Their decisions will mean the difference between life and death, between your living for another day or becoming a statistic - one of the tens of thousands of children and adults who die prematurely and unnecessarily every day in low-income countries.