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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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The State of the World’s Children 2021: On My Mind: promoting, protecting and caring for children’s mental health. Summary

UN Children's Fund UNICEF (2021) C_UNICEF

According to the latest available estimates, more than 1 in 7 adolescents aged 10–19 is estimated to live with a diagnosed mental disorder globally. Almost 46,000 adolescents die from suicide each year, among the top five causes of death for their age group. Meanwhile, wide gaps persist between me... more

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The State of the World’s Children 2021: On My Mind: promoting, protecting and caring for children’s mental health. Latin America and Caribbean Regional Brief

UN Children's Fund UNICEF (2021) C_UNICEF

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Diagnostics to support the eradication of yaws—Development of two target product profiles

Fongwen, N.; Handley, B.; Martin, D. et al. PLoS Neglected Tropical diseases (2022) CC

Yaws is targeted for eradication by 2030, using a strategy based on mass drug administration (MDA) with azithromycin. New diagnostics are needed to aid eradication. Serology is currently the mainstay for yaws diagnosis; however, inaccuracies associated with current serological tests makes it difficu... more

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Film - People, Partnerships, and a Pill: 20 Years of ITI

Stanley, R. Productions International Trachoma Initiative; The Taskforce for Global Health (2018) CC

In 2018, we are celebrating 20 years of progress in eliminating trachoma, the world’s leading infectious cause of blindness. Set up in 1998 by Pfizer Inc. and the Edna McConnell Clark Foundation, the International Trachoma Initiative (ITI) supports Ministries of Health in over 30 countries around ... more

Prevention and Treatment of Tobacco Use: JACC Health Promotion Series

Kalkhoran, S.; Benowitz, N.L.; Rigotti, N.A. (2018) CC

Tobacco use is the leading preventable cause of death worldwide and is a major risk factor for cardiovascular disease (CVD). Both prevention of smoking initiation among youth and smoking cessation among established smokers are key for reducing smoking prevalence and the associated negative health co... more

No time to lose: Universal health coverage and the growing burden of non-communicable diseases

NCD Alliance American College of Cardiology - NCD Academy (2023) CC2

The NCD Alliance website provides information and resources on preventing and controlling non-communicable diseases (NCDs), including cardiovascular diseases, cancer, respiratory diseases, diabetes, and mental health conditions. The Alliance advocates for global health policies, supports countries i... more

Global Alliance against Chronic Respiratory Diseases (GARD) Brazil success case: overcoming barriers

Cruz, A.A.; Camargos, P. A.; Urrutia-Pereira, M.; Stelmach, R. Journal of Thoracic Disease (2018) CC2

The article discusses the success of the Global Alliance against Chronic Respiratory Diseases (GARD) in Brazil. It details the initiatives launched to address chronic respiratory diseases (CRDs) like asthma and COPD, emphasizing the development of national programs and collaborative efforts with the... more

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Diagnostic Local Participatif sur les Personnes Handicapees et leur Participation Citoyenne dans la Commune de Cotonou

Handicap international (2012) C2

La présente étude a permis, non seulement de mieux connaître les différents acteurs de la ville de Cotonou sur la thématique du handicap, mais également de mettre en lumière les actions qu’ils mènent. La problématique du handicap est mal connue dans la ville de Cotonou : pas de statist... more

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Diagnostic Local Participatif sur les Personnes Handicapees ...

Handicap international (2012) C2

Guide pratique de formation des relais communautaires et volontaires sur la Chimio prévention du Paludisme Saisonnier (CPS)
recommended

Prgramme national de lutte contre le paludisme, Senegal Unicef, President's Malaria Initiative (2015) C2

Ce guide est destiné aux formateurs de distributeurs communautaires (relais, volontaires) de médicaments pour la chimio prévention du paludisme saisonnier. Il peut être utilisé par : - Les responsables de programme de santé au niveau décentralisé : les Médecins-Chefs de région – Médec... more

Continuité des services de santé essentiels : outil d’évaluation des établissements
recommended

Organisation Mondiale de la Santé OMS (2021) C_WHO

Module appartenant à la série d’évaluations des capacités des services de santé dans le cadre de la pandémie de COVID-19: orientations provisoires, 12 mai 2021. L'outil d'évaluation de la continuité des services de santé essentiels : Facility Assessment Tool peut être utilisé par les pa... more

Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map

Van Katwyk, S. R.; Grimshaw, J. M.; et al (2019) C2

BACKGROUND: Growing political attention to antimicrobial resistance (AMR) offers a rare opportunity for achieving meaningful action. Many governments have developed national AMR action plans, but most have not yet implemented policy interventions to reduce antimicrobial overuse. A systematic evidenc...e map can support governments in making evidence-informed decisions about implementing programs to reduce AMR, by identifying, describing, and assessing the full range of evaluated government policy options to reduce antimicrobial use in humans. METHODS AND FINDINGS: Seven databases were searched from inception to January 28, 2019, (MEDLINE, CINAHL, EMBASE, PAIS Index, Cochrane Central Register of Controlled Trials, Web of Science, and PubMed). We identified studies that (1) clearly described a government policy intervention aimed at reducing human antimicrobial use, and (2) applied a quantitative design to measure the impact. We found 69 unique evaluations of government policy interventions carried out across 4 of the 6 WHO regions. These evaluations included randomized controlled trials (n = 4), non-randomized controlled trials (n = 3), controlled before-and-after designs (n = 7), interrupted time series designs (n = 25), uncontrolled before-and-after designs (n = 18), descriptive designs (n = 10), and cohort designs (n = 2). From these we identified 17 unique policy options for governments to reduce the human use of antimicrobials. Many studies evaluated public awareness campaigns (n = 17) and antimicrobial guidelines (n = 13); however, others offered different policy options such as professional regulation, restricted reimbursement, pay for performance, and prescription requirements. Identifying these policies can inform the development of future policies and evaluations in different contexts and health systems. Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review. CONCLUSIONS: To our knowledge this is the first study to provide policy makers with synthesized evidence on specific government policy interventions addressing AMR. In the future, governments should ensure that AMR policy interventions are evaluated using rigorous study designs and that study results are published. more

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State of the world's nursing 2020: Investing in education, jobs and leaderships

Organisation mondiale de la Santé (2020) C_WHO

Nurses are critical to deliver on the promise of “leaving no one behind” and the global effort to achieve the Sustainable Development Goals (SDGs). They make a central contribution to national and global targets related to a range of health priorities, including universal health coverage, mental... more

Progress in the elimination of lymphatic filariasis in the Western Pacific Region: successes and challenges

A. Yajima; Ichimori, K. International Health (2020) C1

The Western Pacific Region is the largest and most diverse region in the world, made up of 37 countries and territories in the Pacific, Oceania and parts of Asia, with a population of more than 1.9 billion people stretching over an area from China and Mongolia in the north to New Zealand in the sout... more

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Haiti's Health Emergency Appeal 2023
recommended

World Health Organisation (WHO) (2023) C_WHO

For the past years, Haiti has been engulfed in a socioeconomic, political, and humanitarian crisis that has reached critical levels since mid-September 2022 with the intensification of gang violence and social unrest. The widespread insecurity and political instability have drastically affected the... more

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Communication in Crises Related to Vaccine Safety: Technical Guidance

Pan American Health Organisation PAHO (2021) C_WHO

3 February 2021 Vaccine- and vaccination-related crises require a communication response that is different from the communication strategies used to promote the benefits and importance of vaccines in general. This document presents the technical guidance needed to develop a communication plan that ... more

Comunicación de crisis relacionada con la seguridad de las vacunas y de la vacunación: orientaciones técnicas

Pan American Health Organisation PAHO (2021) C_WHO

3 February 2021 Las crisis relacionadas con las vacunas y la vacunación requieren una respuesta de comunicación diferente a las estrategias comunicacionales para promover los beneficios y la importancia de las vacunas en general. Este documento presenta las orientaciones técnicas necesarias para... more

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India: Office Memorandum on 3 pronged strategy for Early Case Detection

Directorate General of Health Services, National Leprosy Eradication Programme, New Delhi (2015) C1

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Nota-Técnica-467-2021-CGPNI-DEIDT-SVS-MS

Ministério da Saúde Brasil (2021) C2

Trata das orientações da vacinação dos grupos de pessoas com comorbidades, pessoas com deficiência permanente e gestantes e puérperas na Campanha Nacional de Vacinação contra a Covid-19, 2021.

Guide pratique de formation des relais communautaires et volontaires sur la Chimio prévention du Paludisme Saisonnier (CPS) recommended

Continuité des services de santé essentiels : outil d’évaluation des établissements recommended

Haiti's Health Emergency Appeal 2023 recommended

Guide pratique de formation des relais communautaires et volontaires sur la Chimio prévention du Paludisme Saisonnier (CPS)
recommended

Continuité des services de santé essentiels : outil d’évaluation des établissements
recommended

Haiti's Health Emergency Appeal 2023
recommended