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The fuck? Why would the medical staff oblige? Why not just say “no”? If the government is not giving the hospitals enough money, then why allow for so much waste to occur? But then again, they are reusing needles on children, which is spreading HIV, and do not care enough to stop doing so.
It all comes back to lack of education. If the parents and medical staff were aware of the risks involved, they would hopefully make more informed decisions.
Irs not only formal education but also just a kind of culture around medical practice.
In a lot of south east Asian countries there's a real expectation that doctors have to give you medicine. If you go to the Dr with a cold, instead of being told to go home and get some rest, you'll leave with a goodies bag with all the things: paracetamol, a branded pen, antacid, vitamins, a coffee mug, antihistamine, bubblegum tooth paste, expectorant, a mask, and yes: antibiotics.
Many patients particularly from rural backgrounds, have always experienced medicine as a blend of actual therapy and showmanship. If you get headaches then the treatment is paracetamol for the pain and cupping to remove the bad spirits.
This means real practitioners providing science based medicine really need to uphold the showmanship. Better to give a kid a vaccine they might not need in order to improve the perceived value of the healthcare they received.
I can also imagine situations where a hospital might receive 10,000 doses of a vaccine from an aid organisation but are expected to provide their own hardware.
Why not just give them a placebo then, rather than waste actual medicine that isn’t going to do anything?
If you give a hospital medicine they will use it.
Fwiw US based providers have similar issues with prescriptions. Doctors report lower patient satisfaction scores for patients who don't walk out with a prescription. It's why antibiotic overuse is a thing.
It doesn't surprise me one bit that doctors over-prescribe injectables in a country that sees them as a treatment.
I had a terrible ear infection as an adult once, honestly worst pain I can remember and I've broken a few bones. The doctor gave me an antibiotic shot to speed up the recovery, and it worked amazingly well.
A couple years later I got some kind of bronchial bacterial infection. They were just going to send me hime with a script for antibiotics, but I asked for the shot and they gave it to me. The next day I felt drastically better. I still of course had to take a course of antibiotics, but the speed at which the shot worked was amazing.
So I totally understand asking for it when its appropriate for bacterial infections.
Of course doctors should not offer it if there is a shortage of medical equipment