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Mpox Testing Strategy - November 2024

Africa Center for Disease Control and Prevention (2024) CC

Mpox is an emerging zoonotic disease caused by the mpox virus, a member of the Orthopoxvirus genus closely related to the variola virus that causes smallpox. Mpox was first discovered in 1958 when outbreaks of a pox-like disease occurred in monkeys kept for research. The first human case was recorde...d in 1970 in the Democratic Republic of the Congo (DRC) during a period of intensified effort to eliminate smallpox and since then the infection has been reported in a number of African countries. Mpox can spread in humans through close contact, usually skin-to-skin contact, including sexual contact, with an infected person or animal, as well as with materials contaminated with the virus such as clothing, beddings and towels, and respiratory droplets in prolonged face to face contact. People remain infectious from the onset of symptoms until all the lesions have scabbed and healed. The virus may spread from infected animals through handling infected meat or through bites or scratches. Diagnosis is confirmed by polymerase chain reaction (PCR) testing of material from a lesion for the virus’s DNA. Two separate clades of the mpox virus are currently circulating in Africa: Clade I, which includes subclades Ia and Ib, and Clade II, comprising subclades IIa and IIb. Clade Ia and Clade Ib have been associated with ongoing human-to-human transmission and are presently responsible for outbreaks in the Democratic Republic of the Congo (DRC), while Clade Ib is also contributing to outbreaks in Burundi and other countries. In 2022‒2023 mpox caused a global outbreak in over 110 countries, most of which had no previous history of the disease, primarily driven by human-to-human transmission of clade II through sexual contact. In just over a year, over 90,000 cases and 150 deaths were reported to the WHO. For the second time since 2022, mpox has been declared a global health emergency as the virus spreads rapidly across the African continent. On 13 Aug 2024, Africa CDC declared the ongoing mpox outbreak a Public Health Emergency of Continental Security (PHECS), marking the first such declaration by the agency since its inception in 2017.7 This declaration empowered the Africa CDC to lead and coordinate responses to the mpox outbreak across affected African countries. On August 14, 2024, the WHO declared the resurgence of mpox a Public Health Emergency of International Concern (PHEIC) emphasizing the need for coordinated international response. As of August 2024, Mpox has expanded beyond its traditional endemic regions, with new cases reported in countries including Sweden, Thailand, the Philippines, and Pakistan. Sweden has confirmed its first case of Clade 1 variant, which has been rapidly spreading in Africa, particularly in DRC. The emergence of this new variant raises concerns about its potential for higher lethality and transmission rates outside Africa. more

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Regional Ebola Preparedness Overview of Needs and Requirements June to December 2019
recommended

World Health Organization WHO (2019) C_WHO

This document presents a consolidated summary of urgent activities required to advance preparedness, as elaborated in each country's national plan, with a particular focus on Priority 1 countries. It presents the estimated requirements, needs, and gaps for each of the Priority 1 countries and a ... more

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A scorecard for assessing functionality of community health unit in Kenya

Ager, D., Oele, G., Muhula, S., et al Pan African Medical Journal (2016) CC

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National Village Health Teams (VHT) Assessment in Uganda

Ministry of Health, Republic of Uganda (2015) C1

External Link

ENGAGE-TB: integrating community-based tuberculosis activities into the work of nogovernmental and other civil society organizations: training of community health workers and community volunteers

Thomas Joseph, Nathalie Likhite, Lana Syed et al. World Health Organization (2015) C_WHO

Facilitator's Guide. This guide is designed to assist facilitators in training community health workers (CHWs) and community volunteers (CVs) in integrating community-based TB services into their work. The training will help community workers who al... more

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Evaluating the impact of community health worker integration into prevention of mother-to-child transmission of HIV services in Tanzania

Nance, N.; S. Mc Coy, D. Ngilanwa, et al. (2017) C1

Impact Evalution Report 61

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Kenya - Strategy for Community Health 2014-2019

Ministry of Health, Kenya; Community Health Services Unit USAID; PEPFAR; FANIKISHA (2014) C1

Transforming health: Acclerating the attainment of health goals

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Community Empowerment in Health Uganda

Edward O'Neil Jr The Brookings Institution’s International Volunteering and Service Initiative (2009) C1

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Action global health advocacy partnership

M. Slutsker ACTION global health advocacy partnership; ACTION partner oranizations (2016) C2

From policy to practice: how the TB-HIV response is working “The HIV community must place much more focus on TB co-infection than it has done to date. TB takes the lives of over 1000 people living with HIV every day, a number which is absolutely unacceptable. This report highlights that TB d... more

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Delivering Universal Health Coverage 2030 Health: A political choice

Ilona Kickbusch WHO (2019) CC

At least half of the world’s population does not have full coverage of essential health services. Health expenses push more than 100 million people into extreme poverty each and every year, forcin... more

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National Operational Guideline for Community-Based Health Services, 2021

Ministry of Health The United Republic of Tanzania (2021) CC2

Towards Sustainable Community Health and Social Welfare Services Leaving No One Behind. This Operational Guideline for Community-Based Health Services (CBHS) in line with the CBHS Policy Guideline... more

Quality of Care Certification - Manual for the Kenyan Health Sector

Kenya Ministry of Health (2020) C1

Evaluation Report of the Community Health Strategy Implementation in Kenya

Divisions of Community Health Services, UNICEF (2010)

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Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals

Zulfiqar A. Bhutta, Zohra S. Lassi, George Pariyo and Luis Huicho World Health Organization WHO; Global Health Workforce Alliance (2010) C_WHO

A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems Alliance Report Participation of community health workers (CHWs) in the provision of pr... more

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Uganda National Health Laboratory Services Policy

Federal Ministry of Health, Uganda (2009) C1

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Uganda Health Sector Strategic Plan III 2010 - 2014/15

Federal Ministry of Health, Uganda (2010) C1

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WHO guideline on health policy and system support to optimize community health worker programmes
recommended

World Health Organization WHO (2018) C_WHO

The guideline uses state-of-the-art evidence to identify effective policy options to strengthen community health worker (CHW) programme performance through their proper integration in health systems... more

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Community health workers at the dawn of a new era: 6. Recruitment, training, and continuing education

Meike J. Schleif, Iain Aitken , et al. Health Research Policy and Systems (2021) CC

This is the sixth of our 11-paper supplement entitled “Community Health Workers at the Dawn of New Era”. Expectations of community health workers (CHWs) have expanded in recent years to encompas... more

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Context Analysis: close-to-community health service providers in Kenya

M. Mireku,M. Kiruki, R. McCollum, et al. (2014) CC

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Community Health Volunteers' Decision Support System Project

P. Bakibinga, Kamande E. , Kisia L., et al. African Population and Health Research Centre APHRC (2018) C1

This report presents the key findings of the end-of-project assessment of households and community health volunteers, conducted in 2017 in the Kamukunji and Embakasi sub-counties of Nairobi, Kenya, for a Community ... Volunteers’ Decision Support System (CHV DSS) intervention project. The report was prepared by the African Population and Health Research Center (APHRC). The end-line survey was implemented by APHRC. Implementation of the CHV DSS project is a joint collaboration among several partners, including APHRC, the City County of Nairobi, sub-county health management teams (Kamukunji and Embakasi), and community health volunteers. The opinions expressed in this report are those of the authors and do not necessarily reflect the views of the donor organization, the County Innovation Challenge Fund for Kenya. more

Regional Ebola Preparedness Overview of Needs and Requirements June to December 2019 recommended

WHO guideline on health policy and system support to optimize community health worker programmes recommended

Regional Ebola Preparedness Overview of Needs and Requirements June to December 2019
recommended

WHO guideline on health policy and system support to optimize community health worker programmes
recommended