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This manual was designed to support the GRN-UNICEF Youth Health and Development Programme with the aim of sustaining My Future is My Choice graduates and other ... people’s peer education activities. It was written and reviewed in a three-day workshop in November 1999 and in the following weeks with assistance from participating organizations including AIDS Care Trust, Catholic AIDS Action, Ella Du Plessis High School AIDS Awareness Club, the Namibian Broadcasting Corporation, NACAMA, the National Youth Council of Namibia, PEDI/PECP, Polytechnic of Namibia, the University of Namibia and UNICEF. It was revised by Jennifer Lentfer of the Youth Health and Development Program of UNICEF Namibia in July of 2001. more
Chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease, kill more than four million people every year and affect ... more
Mental health is critically important to everyone, everywhere. All over the world, mental health needs are high but responses are insufficient and inadequate. The World mental health report: transforming mental health ... all is designed to inspire and inform better mental health for everyone everywhere. Drawing on the latest evidence available, showcasing examples of good practice from around the world, and voicing people’s lived experience, it highlights why and where change is most needed and how it can best be achieved. It calls on all stakeholders to work together to deepen the value and commitment given to mental health, reshape the environments that influence mental health, and strengthen the systems that care for mental health. more

Diarrhea and Dehydration Module 6

Yu C, Lougee D, Murno JR American Academy of Pediatrics (2016) C1
Poor sanitary conditions in disaster-stricken areas result in higher risk for diarrheal illness in vulnerable populations, especially children. This disease negatively impacts th... more
This unit is written so that you will have the opportunity to learn from mistakes.The unit will take you on a journey of personal stress management, one step at a time Each lesson covers a number of topics and provides various activities ... you to complete. In Lesson 1, you will learn about what stress is and its effects on your health and behaviour. In the next lesson, you will learn to recognise signs and symptoms of stress. Lessons 3 will outline I’ve been a caregiver for 12 years. I have passed through thick and thin. In the process, I think, I’ve destroyed myself—and perhaps people and things I care about. I wish someone had talked to me about it long ago. I wish I had asked them for help. 2ObjectivesCounselling for Caregivers the causes of stress, and Lessons 4 and 5 will discuss strategies for coping with stress for caregivers and for children, respectively. The unit also contains some important questions and activities, which can help you acquire understanding and knowledge that will enable you to develop positive, healthy ways of coping with stress in your life. You can complete this unit successfully. Enjoy your journey! more
The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the end of March 2020. This has limited ...'s movements and reduced public services, leading to a decrease in the number of people accessing health care facilities. An implementation research project, The Alert Community for a Prepared Hospital, has been promoting access to maternal and child health care, in Natikiri, Nampula, for the last four years. Nampula has the second highest incidence of Covid-19. The purpose of this study is to assess the impact of Covid-19 pandemic Government restrictions on access to maternal and child healthcare services. We compared health centres in Nampula city with healthcare centres in our research catchment area. We wanted to see if our previous research interventions have led to a more resilient response from the community. METHODS: Mixed-methods research, descriptive, cross-sectional, retrospective, using a review of patient visit documentation. We compared maternal and child health care unit statistical indicators from March-May 2019 to the same time-period in 2020. We tested for significant changes in access to maternal and child health services, using KrushKall Wallis, One-way Anova and mean and standard deviation tests. We compared interviews with health professionals, traditional birth attendants and patients in the two areas. We gathered data from a comparable city health centre and the main city referral hospital. The Marrere health centre and Marrere General Hospital were the two Alert Community for a Prepared Hospital intervention sites. RESULTS: Comparing 2019 quantitative maternal health services access indicators with those from 2020, showed decreases in most important indicators: family planning visits and elective C-sections dropped 28%; first antenatal visit occurring in the first trimester dropped 26%; hospital deliveries dropped a statistically significant 4% (p = 0.046), while home deliveries rose 74%; children vaccinated down 20%. CONCLUSION: Our results demonstrated the negative collateral effects of Covid-19 pandemic Government restrictions, on access to maternal and child healthcare services, and highlighted the need to improve the health information system in Mozambique. more
The COVID-19 pandemic is having a major impact on the mental health of populations in the Americas. Studies show high rates of depression and anxiety, among other psychological symptoms, particularly among women, ... people, those with pre-existing mental health conditions, health workers, and persons living in vulnerable condi- tions. Mental health systems and services have also been severely disrupted. A lack of financial and human resource investments in mental health services, limited implementation of the decentralized community-based care approach and policies to address the mental health gap prior to the pandemic, have all contributed to the current crisis. Coun- tries must urgently strengthen their mental health responses to COVID-19 by taking actions to scale up mental health and psychosocial support services for all, reach marginalized and at-risk populations, and build back better mental health systems and services for the future. more

Health and Environment Project in Benin

R. Edon Field Actions Science Reports (2010) C2
In 1989, the Republic of Benin was facing a great social and economical crisis. Civil servants of all the sectors in public administration were on strike. People did not know where to go ... their health care. Salaries were not paid for more than six months and life for the general population was very dificult. The country was about to degenerate into civil war as a result of the civil unrest in the country. Thanks to the assistance from the French, and Canadian and American Mennonite missionaries, the Bethesda Health Centre was started in 1990 with US$ 1,000 granted by theses partners. Today, the Health Centre of Bethesda has expanded and has become a large Hospital in Cotonou. It hosts each year about 100,000 patients and has developed the department of paediatrics, ophthalmology, stomatology, cardiology, obstetrical gynaecology, X-rays, etc. The Hospital has also put in place an AIDS service which has been promoted by the government to the status of an AIDS Treatment Centre. In an integrated vision, Bethesda has established other departments. In 1993, the Sanitation department was established to implement sanitation and environmentally-friendly projects aimed at reducing the high incidence of some diseases frequently treated at the hospital. In 1996, the decision was made to establish a micro-inance department called PEBCo. This initiative, which currently has 10,000 clients, uses community savings to promote income-generating activities. Since many women were obliged to use the loans for family needs (health care, children schooling, etc.), they were unable to reimburse them as planned. Hence the Bethesda non-government organization (NGO) recently began an initiative to provide a community-based health insurance option for the population in 2006. There are now 12,000 members. This paper focuses on the presentation of Benin and the program, but also describes how the project could be better improved and what were its beneits and impacts. Field Actions Science Reports The journal of field actions Vol. 4 | 2010 Vol. 4 more
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