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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

Cotonou declaration on buruli ulcer
recommended

World Health Organization WHO (2009) CC

Cotonou Declaration oBuruli Ulcer Cotonou, Benin, 30 March 2009 Neglected tropical diseases kill, weaken or incapacitate millions of people every year, causing permanent physical suffering, social stigmatization and reduced productive capacity. Buruli ulcer, one such disease, causes immense suffer... more

Capacity Building for Nurses’ Knowledge and Practice Regarding Prevention of Diabetic Foot Complications

Abdullah, W.H.; Al Senany, S.; Al-Otheimin, H. K. (2017) CC2

Diabetic foot ulcers are a complication affecting approximately 15% of the total population with diabetes mellitus. There are three and half million diabetic patients in Saudi Arabia alone. Aim: to determine capacity building for nurses’ knowledge and practice regarding prevention of diabetic foot... more

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HEARTS. Technical package for cardiovascular disease management in primary health care. Evidence-based treatment protocols

World Health Organization WHO, et al. (2018) C_WHO

In many low- and middle-income countries, there is a wide gap between evidencebased recommendations and current practice. Treatment of major CVD risk factors remains suboptimal, and only a minority of patients who are treated reach their target levels for blood pressure, blood sugar and blood choles... more

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Screening for Depression

Medicare Learning Network, Dept. of Health and Human Services (2019) C1

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Assist - The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)

R. Humeniuk, S. Henry-Edwards, R. Ali; et al. World Health Organization WHO (2010) C_WHO

Manual for use in primary care. There is substantial evidence for the benefits of screening and brief intervention in primary health care for alcohol problems. However, there is a need for screening and brief interventions with cross-cultural relevance for substances other than alcohol or tobacco,... more

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Integrating neglected tropical diseases in global health and development: fourth WHO report on neglected tropical diseases

World Health Organization (WHO) (2017) C_WHO

Advances have been made through expanded interventions delivered through five public health approaches: innovative and intensified disease management; preventive chemotherapy; vector ecology and management; veterinary public health services; and the provision of safe water, sanitation and hygiene. I... more

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La integración de las enfermedades tropicales desatendidas en la salud y el desarrollo mundiales

World Health Organization WHO (2017) C_WHO

Integrating neglected tropical diseases into global health and development: fourth WHO report on neglected tropical diseases evaluates the changing global public health landscape; assesses progress towards the 2020 targets; and considers the possible core elements of a strategic vision to integratin... more

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CBM Inclusive Project Cycle Management Trainers’ Manual: Stage 2 / Handout 12

Christoffel Blinden Mission (CBM) (2012)

Inclusive Project Cycle Management

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Global report on hypertension: the race against a silent killer
recommended

World Health Organisation (WHO) (2023) C_WHO

This report compiles data for the first time on the far-reaching consequences of uncontrolled hypertension, including heart attacks, strokes and premature death, along with substantial economic losses for communities and countries. It also contains information on the global, regional and country-lev... more

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Digital Health Technologies, Virtual Care and Community-Based Monitoring Solutions for TB Programmes

Stop TB Partnership; WHO (2021) C_WHO

Information note

The Boston Medical Center Patient Navigation Toolkit

The Boston Medical Center AVON Foundation for Women The Boston Medical Center AVON Foundation for Women (2020) C1

This toolkit is designed to help you plan and implement a Patient Navigation program with the best chance of reducing health disparities and improving health outcomes for your patients. It contains evidence-based and experience-based examples, case studies, practical tools, and resources to help you... more

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Digital Accessibility Toolkit

Christoffel Blinden Mission (CBM) (2018)

CBM’s approach is based on the principles of the UN Convention on the Rights of Persons with Disabilities (CRPD) and on CBM’s responsibility to promote accessibility and the principles of universal design in all spheres of its work, including CBM’s digital content and communications. With this... more

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Systematic screening for active tuberculosis: an operational guide

World Health Organization (2015) C_WHO

Systematic screening for active tuberculosis: an operational guide.

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Module 13: Developmental monitoring and screening

United Nations Children's Fund (UNICEF) & International STEP by STEP Association (2016)

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Systematic screening for TB disease

World Health Organization WHO (2021) C_WHO

Systematic screening for TB disease is the systematic identification of people at risk for TB disease, in a predetermined target group, by assessing symptoms and using tests, examinations or other procedures that can be applied rapidly. Systematic screening can benefit people who are at risk of get... more

Rapid communication on systematic screening for tuberculosis

World Health Organization WHO (2020) CC

Tuberculosis (TB) is the leading cause of death from a single infectious agent even if is largely curable and preventable. In 2019 an estimated 2.9 million of the 10 million people who fell ill with TB were not diagnosed or reported to the World Health Organization1. The Politi... more

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Dementia - Toolkit for community workers in low- and middle-income countries

Mercado, S. World Health Organization (Pacific Region) (2018) C_WHO

Guide for community-based management and care of people with dementia Version 1.0 Mental Health and Substance Abuse Division of NCD and Health through the Life-Course World Health Organization Regional Office for the Western Pacific

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WHO implementation tool for monitoring the toxicity of new antiretroviral and antiviral medicines in HIV and viral hepatitis programmes

World Health Organization WHO (2018) C_WHO

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Screening for Type 2 Diabetes

WHO WHO (2003)

Report of a World Health Organization and International Diabetes Federation meeting

Cotonou declaration on buruli ulcer recommended

Global report on hypertension: the race against a silent killer recommended

Cotonou declaration on buruli ulcer
recommended

Global report on hypertension: the race against a silent killer
recommended