@Atul_Gawande Menzies has develop a Nutrition Critical Appraisal Tool, trialling in E. Timor -similar barriers. http://po.st/PJoRrZ
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@Atul_Gawande Read something similar in the book Switch about malnutrition in Vietnam http://www.paulmiller.org/wicked-problems/ …Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande We have the same problem with#polio vaccination in#Pakistan. Mistrust leading to refusals by parents to vaccinate childrenThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande govt should route assistance thru nonprofits that have already built trust in these communities.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Indeed a challenge! Worth revisiting if trust is an issue.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande stay longer be with them and maybe will understand the mistrust@holuongtranThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Michaelbolton Change is a stumper in all cultures. If it's AIDS we say, not me. If it's climate change, we say, not now! -
@jillkramer415 Yes, which is why Positive Deviance might be worth a try. PDs say "It IS me, and it IS now," setting examples.@atul_gawande
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@Atul_Gawande Have you read /The Power of Positive Deviance/? It seems that it's an approach worth trying. Good in low-trust situations. -
@michaelbolton@atul_gawande He wrote the forward to the book ;) -
@JackieBroadbent Doh! I'd forgotten that. I thank a positive deviant for reminding me. Now heading to the bathroom to shave off some egg.
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@Atul_Gawande Dear Sir, will it be possible for you to address doctors of Aurangabad while you are here? All will be delighted, if you do..Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Dear Sir, Will it be possible for you to address doctors of Aurangabad? We would be very happy if you could spare time. ThanksThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande worth referring to approach to#HPVvaccination in Pacific Islands. Open dialogue & respect for decisions. Keep door open.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande 2/2 gave incentive for parents to send kids to school, & did combat malnutrition. Sadly, beset by corruption in tenders.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande sir, a complex problem like every problem in Ind, since there is no data you can trust. The mid-day meals were quite effectiveThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande keep trying! Start with something small, or reinforce a good thing they are eating. Building trust is a two way streetThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande This is a recurring challenge. The mistake often made is to not treat them with respect & patiently unleash their self-agencyThanks. Twitter will use this to make your timeline better. UndoUndo
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