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Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso

Ouedraogo Y., Furlane G., Fruhauf T. et al. Global Health: Science and Practice (2018) CC

Background: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso wer...e limited to temporary screening campaigns. Program Description: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities. Women with larger lesions or lesions suspect for cancer were referred for loop electrosurgical excision procedure (LEEP). The program trained providers, raised awareness through demand generation activities, and strengthened monitoring capacity. Methods: Data on program activities, service provision, and programmatic lessons were analyzed. Three data collection tools, an individual client form, a client registry, and a monthly summary sheet, were used to track 3 key CECAP service indicators: number of women screened using VIA, proportion of women who screened VIA positive, and proportion of women screening VIA positive who received same-day cryotherapy. Results: Over 4 years, the program screened 13,999 women for cervical cancer using VIA; 8.9% screened positive; and 65.9% received cryotherapy in a single visit. The proportion receiving cryotherapy on the same day started at a high of 82% to 93% when services were provided free of charge, but dropped to 51% when a user fee of $10 was applied to cover the cost of supplies. After reducing the fee to $4 in November 2012, the proportion increased again to 78%. Implementation challenges included difficulties tracking referred patients, stock-outs of key supplies, difficulties with machine maintenance, and prohibitive user fees. Providers were trained to independently monitor services, identify gaps, and take corrective actions. Conclusions: Following dissemination of the results that demonstrated the acceptability and feasibility of the CECAP program, the Burkina Faso Ministry of Health included CECAP services in its minimum service delivery package in 2016. Essential components for such programs include provider training on VIA, cryotherapy, and LEEP; provider and patient demand generation; local equipment maintenance; consistent supply stocks; referral system for LEEP; non-prohibitive fees; and a monitoring data collection system. more

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Trauma and Emergency Surgery Kit (TESK) 2019

World Health Organization WHO (2019) C_WHO

For 50 patients requiring surgical care in emergency situations assuming 2 operations per patient (100 interventions) WHO trauma and emergency surgery kit (TESK) aims to provide materials and drugs to meet the needs of 50 patients requiring surgical care in emergency situations, assuming an avera... more

Guidelines for the prevention, management and care of diabetes mellitus

World Health Organization WHO (2006) C_WHO

Diabetes mellitus is one of the most common noncommunicable diseases worldwide. In the Eastern Mediterranean Region there has been a rapid increase in the incidence of diabetes mellitus and it is now the fourth leading cause of death. The increasing prevalence of diabetes mellitus, the emergence of ... more

Wheelchair Service Training Package - Reference Manual for Participants (Basic level)

World Health Organization; USAID; Leadership Managemtn & Governance project (2013) C_WHO

The main purpose of the training package is to develop the minimum skills and knowledge required by personnel involved in wheelchair service delivery. An important aim of the training package is to get it integrated into the regular paramedical/rehabilitation training programs such as physiotherapy,... more

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Updated WHO Recommendation on Tranexamic Acid for the Treatment of Postpartum Haemorrhage

USAID, MCSP; World Health Organization (2017) C_WHO

This summary brief highlights key messages from the updated World Health Organization’s recommendation on tranexamic acid (TXA) for the treatment of postpartum haemorrhage (PPH), including policy and program implications for translating the TXA recommendation into action at the country level. In 2... more

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Road Map for Accelerating the reduction of Maternal and Neonatal Morbidity and Mortality in Malawi

Republic of Malawi, Ministry of Health (2012) C2

The Road Map outlines various strategies which will guide policy makers, development partners, training institutions and service providers in supporting Government efforts towards the attainment of MDGs related to maternal and neonatal health.

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Wheelchair Service Training Package - Trainer's Manual (Basic Level)
recommended

World Health Organization (WHO) (2012) C_WHO

Wheelchair Service Training Package - Basic level | The main purpose of the training package is to develop the minimum skills and knowledge required by personnel involved in wheelchair service delivery. An important aim of the training package is to get it integrated into the regular paramedical/reh... more

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Assessment of Fetal Alcohol Spectrum Disorders

Pan American Health Organisation PAHO (2020) C_WHO

Fetal alcohol spectrum disorders (FASD) represent a range of physical, mental, and behavioral disabilities caused by alcohol use during pregnancy, or prenatal alcohol exposure (PAE). FASDs are considered to be one of the leading preventable causes of developmental disability. Despite its high preval... more

Quality and safety practices for malaria rapid testing services

World Health Organization WHO (2022) C_WHO

This document is a guide defining requirements for quality and safety for malaria rapid diagnostic testing services to safeguard the quality of the results, the safety of the operators and patients and that of the environment for use by national malaria control programmes, regulators, implementers a... more

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WHO Sciene in 5 Episode #36 - Safe care at home

World Health Organization WHO (2021) C_WHO

If you are caring for yourself or a loved one at home, how can you keep everyone safe? Who should be cared for at home? How to prevent COVID-19 infection to other family members? What red flags should you look for that tell you it is time to contact the he... care provider? WHO’s Dr April Baller explains in Science in 5. more

National Comprehensive Guidelines on HIV Testing Services

Kenya MInistry of Health, Community Development, Elderly and Children (2019) C1

These guidelines provide a framework for effective action to facilitate access to safe and ethical testing services for different population groups. The implementation of the a comprehensive approach, known as HIV Testing Services (HTS) is cardinal as an effective package of services that diminis... more

Guidelines on Clinical Management of Chikungunya Fever

World Health Organization (WHO), Regional Office for South-East Asia (2007) C_WHO

The socioeconomic factors and public health inadequacies that facilitated the rapid spread of this infection continue to exist. As it is a new and emerging disease it has not received sufficient coverage yet in the medical curricula of Member States. Specific treatment is not available, and there is... more

National Guidelines for Glaucoma Eyecare

Ministry of Health Malawi (2021) CC

Glaucoma is a leading cause of irreversible blindness globally. In Malawi, glaucoma accounts for 15.8% of the blindness among people aged 50 years and above. Blindness from glaucoma is preventable with early detection and timely treatment. However, glaucoma management remains a challenge to eye care... more

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National Guidelines on Nutrition Care, Support, and Treatment (NCST) for Adolescent and Adults. Second edition 2017

Ministry of Health Malawi (2017) CC

National Guidelines on Nutrition, Care, Support, and Treatment (NCST) for Adolescents and Adults These guidelines are intended to: • Establish a consistent set of nutrition interventions and recommendations aimed at managing and preventing undernutrition and overnutrition in adolescents and ad... more

Hypertension - Screening, Diagnosis, Assessment, and Management of Primary Hypertension in Adultd in India

Ministry of Health & Family Welfare India Government of India (2017) CC

Hypertension is the number one health related risk factor in India, with the largest contribution to burden of disease and mortality. It contributes to an estimated 1.6 million deaths, due to ischemic heart disease and stroke, out of a total of about 10 million deaths annually in India. Fifty seven ... more

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Ethiopian Hospital service transformation Guidelines: Chapter 10 Pharmacy Service: Ethiopian Hospital Management Initiative

Federal Democratic Republic of Ethiopia -Ministry of Health (2017) C1

The Ethiopian Hospital Services Transformation Guidelines (EHSTG) build on and expand the Ethiopian Hospital Reform Implementation Guidelines (EHRIG) and are consistent with the Health Sector Transformation Plan (HSTP). The EHSTG, which is consistent with the national focu... more

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Quality of stroke guidelines in low- and middle-income countries: a systematic review

Yaria, J.; Gil, A.; Makanjuola, A. et al. Bulletin of the World Health Organization (2021) C_WHO

Objective: To identify gaps in national stroke guidelines that could be bridged to enhance the quality of stroke care services in low- and middle-income countries. Methods: We systematically searched medical databases and websites of medical societies and contacted international organizations. Co... more

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Malawi Emergency Obstetric and Newborn Care Needs Assessment, 2014

Ministry of Health (Malawi), USAID, UNFPA, UNICEF, Save the Children International, Clinton Health Foundation (2015) C2

In 2014, the Ministry of Health (MOH) in Malawi conducted a nationwide assessment of emergency obstetric and newborn care (EmONC) services. This cross-sectional facility-based survey used 10 data collection modules. Data collection began on 23rd September 2014 and concluded on 17th October 2014, in ... more

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Assessing Patients For Sexual Violence

National Sexual Violence Resource Center (2011) C1

A GUIDE FOR HEALTH CARE PROVIDERS. This material was reprinted, with permission, from the National Sexual Violence Resource Center’s publicati... more

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LEEP Clinical Standards of Practice

Pathfinder International (2013)

This manual guides trained health care providers through the LEEP procedure to remove precancerous cervical lesions that cannot be treated with cry... more

Wheelchair Service Training Package - Trainer's Manual (Basic Level) recommended

Wheelchair Service Training Package - Trainer's Manual (Basic Level)
recommended