“…Effective communication from providers may compensate for a lack of understanding with patients with inadequate health literacy in clinical settings. Burch & Jackson[19] noted that in the recent past, the average number of clinical items, ranging from diagnoses, medications to diagnostic tests addressed at adult primary care visits, has increased from 5 to 7, while the time spent on each item has de-creased from 4.4 to 3.8 minutes. This underscores how effective communication can be an important tool, especially in resource constraint settings.…”