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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

Enquête sur les Indicateurs du Paludisme et de l’Anémie en Guinée (EIPAG)

DHS Program Demographic and Health Surveys ICF International (2022) C1

République de Guinée . Rapport final

República Bolivariana de Venezuela Anuario de Mortalidad 2012

República bolivariana de Venezuela, Juventud (2014) C1

Encovi: Evaluando la catástrofe social

Ecoanalítica (2018) C2

Ecoanalítica Año 13. Número 08. Semana I Marzo 2018

Décima tercera Alerta de sarampión. 18 de marzo 2018

Sociedad Venezolana de Salud Pública (2018) C1

Indicadores de salud seleccionados para poblacion de 10 a 19 años Argentina 2019

Ministra de Salud y Desarrollo Social, Argentina (2021) C1

Boletín Número 165

Enquete de Grappes à Indicateur Multiples

UNCEF; MSD; MICS (2008) C1

Haiti: Enquête Mortalité, Morbidité et Utilisation des Services 2012 , Rapport de synthèse

USAID, UNICEF, UNFPA et al. (2012) C1

Enquête Démographique et de Santé République Démocratique du Congo 2007

Ministère du Plan et Macro International. 20 (2008) C1

Burkina Faso - National Anemia Profile

SPRING - Strengthening Partnerships, Results and Innovations in Nutrition Globally USAID - from the americain people (2015) C2

A multisectoral approach to prevent anemia will save lives and improve the wellbeing of mothers, infants, and children

Etude Diagnostique sur la Situation du Genre en République Centrafricaine - Rapport General

World Bank (2012) C1

Rapport

Boletín Epidemiológico. Semana Epidemiológica N°52

Gobierno Bolivariano de Venezuela, et al. (2016) C1

CENSUS OF PEOPLE WITH DISABILITIES IN RWANDA

Ministry of Local Government, Rwanda (2010) C2

This document presents the findings of the National Census of Persons with Disabilities in Rwanda. The preliminary result of this census has been used to produce a summary analysis of tables and figures. It shall be possible to derive basic socio-de... more

RWANDA: WHO AND UNICEF ESTIMATES OF IMMUNIZATION COVERAGE

WHO & UNICEF (2016) C_WHO

2016 revision

Challenges of DHS and MIS to capture the entire pattern of malaria parasite risk and intervention effects in countries with different ecological zones: the case of Cameroon

Massoda Tonye, S.G. ; C. Kouambeng, R. Wounang et. al. Malaria Journal (2018) C1

Massoda Tonye et al. Malar J (2018) 17:156 https://doi.org/10.1186/s12936-018-2284-7 Background: In 2011, the demographic and health survey (DHS) in Cameroon was combined with the multiple indicator cluster survey. Malaria parasitological data were collected, but the survey period did not overl... more

Senegal: Findings on the worst forms of child labour - minimal advancement

Bureau of international labor affairs (2016) C2

In 2016, Senegal made a minimal advancement in efforts to eliminate the worst forms of child labor. In June, the Government launched an initiative to remove tailbés from the street and prosecute marabouts that perpetrate crimes against their students; however, no marabouts were prosecuted during th... more

Situation Analysis of Children in Mozambique 2014

UN Children's Fund UNICEF (2015)

Democratic Republic of Congo: PROFILE OF PRETERM AND LOW BIRTH WEIGHT PREVENTION AND CARE

Every Preemie—SCALE (2017) C2

The information provided here can be used to understand the current situation, increase attention to preterm births in Rwanda and to inform dialogue and action among stakeholders. Data can be used to identify the most important risk factors to target and gaps in care in order to identify and impleme... more

Rwanda: PROFILE OF PRETERM AND LOW BIRTH WEIGHT PREVENTION AND CARE

Every Preemie—SCALE (2017) C2

The information provided here can be used to understand the current situation, increase attention to preterm births in Rwanda and to inform dialogue and action among stakeholders. Data can be used to identify the most important risk factors to target and gaps in care in order to identify and impleme... more

Bangladesh: PROFILE OF PRETERM AND LOW BIRTH WEIGHT PREVENTION AND CARE

Every Preemie—SCALE (2017) C2

The information provided here can be used to understand the current situation, increase attention to preterm births in Rwanda and to inform dialogue and action among stakeholders. Data can be used to identify the most important risk factors to target and gaps in care in order to identify and impleme... more