POST 00958E : THINKING THE UNTHINKABLE
Follow-up on Posts 00917E, 00923E, 00931E, 00937E, 00942E, 00947E and 00951E
29 July 2006
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Peter Poore (mailto:[email protected]) from the United Kingdom comments on
Robert Steinglass' contribution and also informs us of a new organization
devoted to evaluation and analysis.
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Robert Steinglass's call for a more inclusive debate on the use of limited
resources for immunisation is as important today as it ever was. It is not
enough to base decision making on the evidence from donors, politicians and
scientists. Others, including health practitioners and users of health
services also have a wealth of knowledge which must be taken account of.
Unless all of the evidence is considered, it is likely that flawed
decisions have been, and will continue to be made and this can only limit
the effectiveness of any intervention.
We are addressing the need for a wider evidence base through a new
organisation called Evidence for Development
(www.evidencefordevelopment.com) This focusses on household economies and
considers the importance of understanding how people survive and make
decisions about their lives in poor environments. It may be of interest to
Technet readers as I believe it has relevance for the provision of health
care, including vaccines.
Progress towards a fairer distribution of the world's resources is slow and
with global climate change threatening to negate many of the successes in
disease prevention in the poorer parts of the world, the need for more
realistic and sensitive approaches to controlling and preventing common
health problems is vital.
Peter Poore,
Independent Health Advisor
formerly Senior Health Advisor,
Save the Children UK
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