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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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Self-help Plus (SH+)
recommended

World Health Organization WHO (2021) CC

A group-based stress managment course for adults. Self-Help Plus (SH+) is WHO’s 5-session stress management course for large groups of up to 30 people. It is delivered by supervised, non-specialist facilitators who complete a short training course and use pre-recorded audio and an illustrated gui... more

Clinical guidelines for breast cancer control and managment

Ministry of Health, Republic of South Africa (2018) CC

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Fact sheet on Cervical Cancer

Cancer Association of South Africa (CANSA) (2021) CC

Quality health services and palliative care: practical approaches and resources to support policy, strategy and practice

World Health Organisation (WHO) (2021) C_WHO

As countries commit to achieving universal health coverage, it is imperative to ensure that the design and delivery of palliative care services place attention on quality of care, with action needed across all domains of quality health services: effectiveness, safety, people-centredness, timeliness,... more

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Training Manual - Psychological First Aid for Field Workers in Fiji

Adventist Development and Relief Agency International, Caritas, Fiji Red Cross Society et al. (2021) CC

This Fiji contextualized manual was initially drafted for CANDO partners as a result of the work done by the humanitarian arms of the various Christian denominations. However as the work progressed it became evidently clear that the training was needed for all responders, and not only Christian resp... more

Haiti: Flash appeal - Earthquake August 2021

UN Office for the Coordination of Humanitarian Affairs OCHA (2021) CC

Strategical plan

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Prevention: breast cancer risks factors and prevention

World Health Organization WH=; Pan American Health Organization PAHO (2021) C_WHO

This summary covers the preventive approach to breast cancer control and includes prophylactic medications, prophylactic surgery and lifestyle modifications for breast cancer prevention. Health professional training and individual risk assessments and counseling are also discussed.

Recomendações da SBMFC para a APS durante a Pandemia de COVID-19 (Edicao 4)

Ricardo Heinzelmann, Rogerio Luz Coelho Neto et al. Sociedade Brasileira de Medicina de Família e Comunidade (2021) CC

SBMFC Recommendations for PHC during the Pandemic of COVID-19 (edition 4) This document answers questions and gives recommendations so that the Brazilian PHC can quickly receive the best possible scientific synthesis on the current situation of the pandemic of COVID-19

Unequal, unprepared, under threat -World AIDS Day Report, 1 Dec 2021

UNAIDS (2021) C_WHO

Why bold action against inequalities is needed to en AIDS, stop COVID-19 and prepare for future pandemics

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UNAIDS data-2021

UNAIDS (2021) C_CDC

Global and Regional Data 1 December 2021; The 90–90–90 targets were missed, but not by much. At the end of 2020, 84% of people living with HIV knew their HIV status, 87% of people living with HIV who knew their HIV status were accessing antiretroviral therapy, and 90% of people on treatment were... more

More than money — The Joint United Nations Programme on HIV/AIDS and the Global Fund to Fight AIDS, Tuberculosis and Malaria

The Global Fund, UNAIDS UNAIDS (2021) C_WHO

Joint actions by the Global Fund and UNAIDS are guided by a strong alignment of strategies, goals and targets. UNAIDS has worked with all stakeholders to set a common agenda and targets within the Global AIDS Strategy 2021–2026, and the United Nations General Assembly confirmed this strategy and i... more

Creating HIV prevention cascades — Operational guidance on a tool for monitoring programmes

UNAIDS (2021) C_WHO

This publication provides managers with guidance on how to create basic HIV prevention cascades as a starting point to enhance their ability to monitor and improve their programming and to facilitate comparisons of programme effectiveness across sites.

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Community Engagement through Women’s Self-Help Groups: Leveraging mobile technology for capacity building during COVID-19 lockdown in India

Lok Swasthya SEWA Trust and World Health Organization WHO India (2021) C_WHO

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Use of COVID-19 evidence in humanitarian settings: the need for dynamic guidance adapted to changing humanitarian crisis contexts

Odlum, A.; R. James; A. Mahieu; et al. Conflict and Health (2021) CC

For humanitarian organisations to respond effectively to complex crises, they require access to up-to-date evidence-based guidance. The COVID-19 crisis has highlighted the importance of updating global guidance to context-specific and evolving needs in humanitarian settings. Our study aimed to under... more

A People’s Vaccine for Refugees: Ensuring access to COVID-19 vaccines for refugees and other displaced people

Oxfam (2021) C1

For most people in displacement contexts, there are simply not enough vaccines available in the places where they are hosted: 85% of refugees are hosted in lower- and middle-income countries, while in the first six months of this year 85% of vaccines went to wealthy countries; lower- and middle inco... more

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Interim statement on COVID-19 vaccination for children and adolescents

World Health Organization WHO (2022) C_WHO

11 august 2022, updated version

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UNICEF 2021 World AIDS Day Report - Stolen childhood, Lost Adolescence
recommended

UN Children's Fund UNICEF Unicef (2021) C_UNICEF

UNICEF's 2021 World AIDS Day report provides global and regional statistical updates on children, adolescents and pregnant women. It further provides a brief history of the HIV epidemic and response for children together with a series of human interest stories that shine light on inequalities faced ... more

MILESTONES in the HIV epidemic among children and adolescents

UN Children's Fund UNICEF (2021) C_UNICEF

Milestones in the treatment, care and support, Dec 2021

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2021 HIV and AIDS Global Snapshot - Pregnant women, children and adolescents November 2021

UN Children's Fund UNICEF (2021) C_UNICEF

Self-help Plus (SH+) recommended

UNICEF 2021 World AIDS Day Report - Stolen childhood, Lost Adolescence recommended

Self-help Plus (SH+)
recommended

UNICEF 2021 World AIDS Day Report - Stolen childhood, Lost Adolescence
recommended