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Study finds “know-do” gap in treatment of pneumonia and diarrhoea in children in rural areas

BMJ 2015; 350 doi: http://dx.doi.org/10.1136/bmj.h1028 (Published 23 February 2015) Cite this as: BMJ 2015;350:h1028
  1. Cheryl Travasso
  1. 1Mumbai

Many rural paediatric healthcare practitioners in India are not correctly diagnosing and managing pneumonia and diarrhoea, two of the leading causes of children’s deaths, a study has shown.

The study, published in JAMA Pediatrics, evaluated 340 private and public healthcare practitioners in Bihar and is among the first to report estimates of the “know-do” gap: that between what practitioners know about disease management and the care actually delivered to the patient.1

The study involved a combination of vignette interviews and standardised patients. During the vignettes participants were presented with a hypothetical case by two interviewers who recorded their …

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