Take documentation with you.
When physicians were engaged in diagnostics, in documentation, or in conversations with others (e.g. relatives), the probability of parallel patient conversations was found to be significantly higher.
The Road Trip became an American institution, and with it a greater understanding of history, architecture and art, from outdoor statues to engaging vintage advertising signs that for many became an annual ritual of photographic documentation and close encounters.
Alternately, since much of obstetrical care involves young, healthy women, engaging them to a much larger extent in their care including self-documentation in their charts, is a realistic potential step.
By engaging with tribal healers the public sector could promote learning, help to dissuade inappropriate practices, and enable documentation and improved referral, which in turn would contribute to the overall strengthening of the health system.
We reflect on our experience in the ongoing consultative development of Zambia's NHRS and offer this reflection and process documentation to those engaged in similar initiatives in other settings.
Regular completion every two weeks furthermore will inevitably lead toward a 'tick-box' mentality where the primary task becomes completing the documentation rather than using the documentation as a tool to engage with the patient.
It is essential that the press engage in this debate and provides documentation to inform it.
