In the long run, developing a European monitoring system for CAM safety may be desirable but would require more thorough information about CAM prevalence and provision.
Moreover, the current study was conducted in the context of low prevalence of provision of parenteral anticonvulsants among health facilities in Tanzania.
The lack of data on CAM prevalence and provision, as well as the diversity of the EU public's interests in CAM, are central aspects of the CAMbrella roadmap.
The microbiology laboratory also plays a vital role in controlling S. maltophilia infections by continuous monitoring of the prevalence, the provision of local antibiogram data and the performance of synergistic studies which may help to guide therapy selection.
However, although our arguments are reinforced by the evidence of low prevalence of provision of parenteral anticonvulsants among health facilities in Tanzania [ 20], we cannot dismiss the possibility that district and private hospital referrals were biased towards complicated cases of eclampsia.
The prevalence of care provision for all risks combined was defined as: assessment for all four risks; the provision of brief advice for all of a client's self-reported risks; and either an offer to send a health risk summary of all their risks to the clients GP/AMS, or an offer of referral/follow-up for all their risks individually (i.e. telephone counseling, or GP/AMS for alcohol).
Reported patterns in the prevalence of information provision and consumer involvement in decision-making across the procedures allow us to speculate about the factors that may facilitate or impede consumer information provision and involvement in decision-making.
Lastly, in light of the high rate of bacteremia that we and others found in adults in parts of Africa with high HIV prevalence, more widespread provision of microbiology services in clinical settings could result in improved patient care.
New services need to be set up in areas that have no service and, based on the estimated prevalence of CFS/ME, provision needs to be expanded in many areas that do have a service.
On the basis of previous findings that patients are typically more liberal than third-party observers in their assessments of providers' shared decision-making behaviours [ 27- 29], we speculate that, if anything, the prevalence of information provision and consumer involvement perceived by women and reported here is inflated.
