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System change for better public health in North Macedonia: a roadmap: report of the public health retreat, Ohrid, 1–3 October 2019

World Health Organization WHO (2021) C_WHO

Impact on Essential Health Services

The Independent Panel (2021) CC

Background paper 8 The Independent Panel for Pandemic Preparedness and Response May 2021

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Water Under Fire: Attacks on water and sanitation services in armed conflict and the impacts on children

Unicef (2021) C_UNICEF

In many conflicts around the world, more children die from diseases linked to unsafe water than from direct violence. UNICEF is releasing Water Under Fire volume 3, a report that highlights the issues children face in accessing water in times of war. The report demonstrates the humanitarian impact o... more

Zimbabwe multi-sectoral cholera elimination plan 2018-2028

World Health Organization WHO; Regional Office for Africa; Cholera Secretariat Zimbabwe (2019) C_WHO

Multi-sectoral Cholera Elimination Plan

FIP Reference Guide on Good Pharmacy Practice in community and hospital settings

International Pharmaceutical Federation (2009) CC

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Improved school-based deworming coverage through intersectoral coordination - The Kenya Experience

World Health Organization WHO - Regional Office Africa (2013) C_WHO

A national faecal examination of 27 729 schoolchildren from 395 schools carried out in 2008 indicated that intestinal parasitic worms affected an estimated five million (56.8%) children in Kenya. Existing evidence shows that worm infections lead to reduced literacy levels due to impaired growth a... more

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Coronavirus disease (COVID-19) training: Online training
recommended

World Health Organization WHO (2022) C_WHO

access free courses in more than 60 languages

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Partnerships for African Vaccine Manufacturing (PAVM) Framework for Action

African Union; Africa CDC Centres for Disease Control and Prevention (2022) CC

The African Centers for Disease Control and Prevention and the African Union together have called for a New Public Health Order which will safeguard the health and economic security of the continent as it strives to meet the aspirations of the Agenda 2063. A key pillar of this mandate seeks to expan... more

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The Lancet Nigeria Commission: investing in health and the future of the nation

Abubakar, I.; et al. (2022) CC

Lancet 2022; 399: 1155–200 Published Online March 15, 2022 https://doi.org/10.1016/ S0140-6736(21)02488-0

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Africa CDC Non Communicable Diseases, Injuries Prevention and Control and Mental Health Promotion Strategy
recommended

African Union; Africa CDC Centres for Disease Control and Prevention (2022) CC

Non-communicable diseases (NCDs) & injuries and mental health conditions constitute a serious impediment to achieving the vision of Agenda 2063 to build an integrated, prosperous, and peaceful Africa driven by its own citizens. Each year, these conditions cause millions of premature deaths and disab... more

Expanding sustainable vaccine manufacturing in Africa: Priorities for Support

GAVI Alliance (2022) C1

Despite high regional demand for vaccines valued at over US$ 1 billion annually, Africa’s vaccine industry provides only 0.1% of global supply. Vaccine inequity and hoarding at the start of the pandemic, which resulted in delays in obtaining COVID-19 doses, stimulated new resolve to address future... more

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Improved school-based deworming coverage through intersectoral coordination in Kenya

World Health Organization WHO (2013) C_WHO

This report outlines the coordination and partnership between two key ministries (Education and Public Health) in Kenya, other line ministries, the private sector, NGOs and the community in implementing the first phase of a sub-national school-based deworming exercise. The areas targeted included Co... more

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Sexual and Reproductive Health and Rights (SRHR) Policy 2017-2022

United Nations Population Fund UNFPA, Ministry of Health Malawi Ministry of Health Malawi (2017) CC

The revision of the SRHR Policy is based on the results of the analysis of the implementation process of the past policy, which has provided evidence to ensure that the revised policy is relevant and effective. The revision has also been done with the participation of all national stakeholders who ... more

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Step up the fight. Investment case

The Global Fund Reliefweb OCHA (2019) CC

Ending the epidemics of HIV, tuberculosis and malaria by 2030 is within reach, but not yet fully in our grasp. With only 11 years left, we have no time to waste. We must step up the fight now.

Tracking development assistance for health to fragile states: 2005-2011

Graves C. et al. Pubmed (2023) CC

Development assistance for health (DAH) has grown substantially, totaling more than $31.3 billion in 2013. However, the degree that countries with high concentrations of armed conflict, ethnic violence, inequality, debt, and corruption have received this health aid and how that assistance might be d... more

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Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Minja, N.W.; Nakagaayi, D.; Aliku, T. et al. Frontiers in Cardiovascular Medicine (2022) CC

In 2015, the United Nations set important targets to reduce premature cardiovascular disease (CVD) deaths by 33% by 2030. Africa disproportionately bears the brunt of CVD burden and has one of the highest risks of dying from non-communicable diseases (NCDs) worldwide. There is currently an epide...miological transition on the continent, where NCDs is projected to outpace communicable diseases within the current decade. Unchecked increases in CVD risk factors have contributed to the growing burden of three major CVDs—hypertension, cardiomyopathies, and atherosclerotic diseasesleading to devastating rates of stroke and heart failure. The highest age standardized disability-adjusted life years (DALYs) due to hypertensive heart disease (HHD) were recorded in Africa. The contributory causes of heart failure are changing—whilst HHD and cardiomyopathies still dominate, ischemic heart disease is rapidly becoming a significant contributor, whilst rheumatic heart disease (RHD) has shown a gradual decline. In a continent where health systems are traditionally geared toward addressing communicable diseases, several gaps exist to adequately meet the growing demand imposed by CVDs. Among these, high-quality research to inform interventions, underfunded health systems with high out-of-pocket costs, limited accessibility and affordability of essential medicines, CVD preventive services, and skill shortages. Overall, the African continent progress toward a third reduction in premature mortality come 2030 is lagging behind. More can be done in the arena of effective policy implementation for risk factor reduction and CVD prevention, increasing health financing and focusing on strengthening primary health care services for prevention and treatment of CVDs, whilst ensuring availability and affordability of quality medicines. Further, investing in systematic country data collection and research outputs will improve the accuracy of the burden of disease data and inform policy adoption on interventions. This review summarizes the current CVD burden, important gaps in cardiovascular medicine in Africa, and further highlights priority areas where efforts could be intensified in the next decade with potential to improve the current rate of progress toward achieving a 33% reduction in CVD mortality. more