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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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State of inequality: HIV, tuberculosis and malaria.

World Health Organization WHO; Global Fund (2021) C_WHO

The World Health Organization and the Global Fund to Fight AIDS, Tuberculosis and Malaria are part of a group of agencies working together to accelerate progress towards the ...-related SDGs through the Global Action Plan for Healthy Lives and Well-being for All. Understanding patterns of inequalities in these diseases is essential for taking strategic, evidence-informed action to realize our shared vision of ending the epidemics of HIV, TB and malaria. This report presents the first comprehensive analysis of the magnitude and patterns of socioeconomic, demographic and geographic inequalities in disease burden and access to services for prevention and treatment. The results confirm there have been improvements in service coverage and decreased disease burden at the national level over the past decade. But they also reveal an uncomfortable reality: unfair inequalities between population subgroups within countries are widespread and have remained largely unchanged over the past decade. For some disease indicators, inequalities are even worsening. Moreover, the report points to the persistent lack of available data to fully understand inequality patterns in HIV, TB and malaria. Collecting data to improve the monitoring of inequalities in these diseases is vital to develop targeted responses for impact. There are, encouragingly, isolated successes in reducing inequities. Change is possible when deliberate action is taken to reach disadvantaged populations. more

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Care of Small Babies: Classifying the Small Baby at Birth

Global Health Media Project (2017) C1

All small babies are at risk of problems after birth. This video—for health workers—shows how to classify a small baby to determine further care. This video is available in English and the below languages: Bangla, French, Hindi, Khmer, Ne... more

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Care of Small Babies: Preparing for Birth

Global Health Media Project (2017) C1

The birth of a small baby often can be predicted. This video—for health workers—shows how to prepare for the small baby’s special needs at birth. This video is available in English and the below languages: Bangla, French, Nepali, and S... more

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Ukraine

Global Health Data Exchange IHME (2022) CC

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How Pregnancy Happens, Teaching Short

Global Health Media Project (2022) C1

This Teaching Short describes a woman’s monthly cycle and shows and tells how pregnancy happens. The videos present up-to-date standards on these important topics: contraceptive methods; family planning learning aids; contraceptive method skills (“how-to” films); counseling; reproductive ...; and clinic-based infection prevention and control The video is available in English, French, Spanish more

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À quoi s'attendre après l’accouchement

Global Health Media Project (2019) CC_Global Health Media Project

Après la naissance du bébé, l'accoucheur doit préserver la santé et celle du bébé et l'aider à prendre un bon départ dans la vie. Cette vidéo montre ce à quoi il faut s'attendre dans les premières heures qui suivent la naissance.

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What to epext after birth (Video)

Global Health Media Project (2019) CC_Global Health Media Project

Following the birth of your baby, your birth attendant must safeguard the health of both you and your baby and help your baby get off to a good start in life. This video will show what to expect in the first few hours right after birth.

Dengue epidemiology

Jing, Q.; Wang, M. Global Health Journal (2019) CC

Dengue is the fastest spreading, mosquito-borne viral infectious disease worldwide, with remarkable morbidity and mortality. In the past decades, profound contributions have been made towards understanding its epidemiology, including disease burden and distributions, risk factors, and control and pr... more

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Cystic Echinococcosis (CE)

Global Health; Division of Parasitic Diseases and Malaria (2020) CC

People who accidentally swallow the eggs of the Echinococcus granulosus tapeworm are at risk for infection. Dogs that eat home-slaughtered sheep and other livestock become infected with the tapeworm Echinococcus granulosus and the tapeworm eggs can be found in their stool. Direct contact with infect... more

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Accelerator Discussion Paper 1: Sustainable Financing

Global Fund, World Bank Group, Gavi, the Vaccine Alliance et al. World Health Organization (WHO) (2019) CC

The Global Action Plan for Healthy Lives and Well-being for All (SDG3 GAP) is a set of commitments by 13 multilateral agencies to strengthen their collaboration. For this purpose several accelerator... more

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ACT-A - Urgent Priorities & Financing Requirements at 10 November 2020

World Health Organization (WHO), The Global Fund, Gavi et al. World Health Organization (WHO) (2020) CC

Six months after its launch on 24 April, the Access to COVID-19 Tools (ACT) Accelerator has already delivered concrete results in speeding up the development of new therapeutics, diagnostics, and vaccines. Now mid-way through the scale-up phase, the tools we need to fundamentally change the course o... more

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What to Feed Young Children

Global Health Media Project (2020) CC_Global Health Media Project

This video shows the range of foods that provide the best nutrition for a healthy growing young child.

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Tracking sectoral allocation of official development assistance: a comparative study of the 29 Development Assistance Committee countries, 2011–2018

Nomura S; Sakamoto H.; Ishizuka A. et al. Global Health Action (2021) CC

Official development assistance (ODA) is one of the most important means for donor countries to foster diplomatic relations with low- and middle-income countries and contribute to the welfare of the international community.Objective: This study estimated the sectoral allocation of

ORS and Zinc tablets stops diarrhoea faster and protects

Global Health: Science and Practice (2016) CC2

A poster advertising oral rehydration salts (ORS) and zinc, part of the SHOPS mass media campaign in Ghana, was distributed widely to pharmacies and over‐the‐counter medicine sellers to improve caregivers’ and providers’ awareness of the new diarrhea treatment protocols for children under 5.

Open Access Re-envisioning Kangaroo Mother Care Implementation Through a Socioecological Model: Lessons From Malawi

Global Health: Science and Practice (2022) CC2

Kangaroo mother care (KMC) is a critical strategy to care for preterm and low birth weight infants in resource-limited settings. Despite evidence of its effectiveness and low cost, coverage has remained low, largely due to sociocultural barriers. We aimed to better understand social norms and commun... more

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Interim Guiding Document to Support Countries for the Development of their national cholera plan

World Health Organization WHO Global Task Force on Cholera (2020) C_WHO

The Global Task Force on Cholera Control (GTFCC) launched Ending Cholera: A Global Roadmap to 2030 (Global Roadmap) (1), a strategy that aims to ... more

Acute diarrhoeal diseases in complex emergencies: critical steps. Arabic
recommended

Global Task Force on Cholera Control World Health Organization WHO (2010) C_WHO

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Acute diarrhoeal diseases in complex emergencies: critical steps

Global Task Force on Cholera Control World Health Organization (2010)

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Cholera Outbreak: assessing the outbreak response and improving preparedness

Global Task Force on Cholera Control World Health Organization (WHO) (2010)

Acute diarrhoeal diseases in complex emergencies: critical steps. Arabic recommended

Acute diarrhoeal diseases in complex emergencies: critical steps. Arabic
recommended