Endemic Non-Communicable Diseases

I think it is a great idea.All big hospitals have such exercises.It is good to see this happening in peripheral areas.One small suggestion--try associating even allied and very junior staff.They should feel involved and important.

Hi Sandeep,

Thanks for the comment. In fact, we are doing exactly what you suggest. All of our staff, both clinical and non-clinical, including everyone from MBBS doctors to our groundskeepers, are involved in the M&M conferences. We agree that it's important to have everyone feel involved and take ownership for all components of patient care.

Perhaps not surprisingly, as we mention in the challenges section of the paper, we have had difficulty getting the "lower-ranking" staffs (e.g. assistants, non-clinical staffs, etc) and the female staffs to participate to the same degree as the traditionally higher-ranking male staffs. We have tried various methods to pro-actively include them, including direct solicitation of comments, but due to the difficult sociological and cultural barriers in our area, they tend to be quite reticent to speak. Nonetheless, we remain committed to involving them and doing what we can to improve their ownership of the work.

Thanks for your thoughts. Best, -Dan