Intended for healthcare professionals

Letters Millennium development goals

Listen to the needs of existing healthcare workers

BMJ 2010; 341 doi: (Published 05 October 2010) Cite this as: BMJ 2010;341:c5461
  1. Catriona Connolly, consultant anaesthetist and founder of Scotland Malawi Anaesthesia
  1. 1Ninewells Hospital, Dundee, UK
  1. c.connolly{at}

I agree with Pakenham-Walsh’s call for a fifth statement.1 The SEISMIC basic needs he refers to (skills, equipment, information, structural support, medicines, incentives, and communication facilities) underpin the other four statements.

Access to essential drugs and equipment would boost morale for our colleagues in developing countries, many of …

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