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Considerando los cambios estratégicos en el abordaje de la salud pública y de la atención primaria de la salud, la prevención y el control de la tuberculosis en Ecuador genera un cambio en la parte organizacional y en la prestación de servicios con enfoque en grupos vulnerables y/o con factores
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de riesgo acorde a los ciclos de vida. Esta documento contempla una orientación apoyada en evidencia científica y otras recomendaciones en la práctica médica, basadas en el buen juicio clínico de quien la emplea como referencia, en las necesidades del afectado y en los recursos disponibles al momento de la atención, dando prioridad a la prevención, diagnóstico, tratamiento y control de la TB.
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Los pueblos indígenas presentan tasas más altas de morbilidad y mortalidad por tuberculosis (tb) que los demás grupos étnicos. El acceso limitado a servicios de salud debido a la ubicación geográfica y a problemas del conflicto armado los mantiene aislados. En este estudio se pr
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esenta un análisis de la situación epidemiológica de la tb en pueblos indígenas, y se identifican factores socioculturales que pueden ayudar a mejorar el control de la enfermedad.
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Le Bénin en registre chaque année environ 1500 décès maternels et plus de 12 000 décès de nouveau-nés. Face à cette situation, il estélaboré le plan opérationnel de réduction de la mortalité maternelle et néonatale 2018 –2022. Il s’agit du document par lequel le Minist
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re de la Santé fixe les objectifs, détermine les stratégies permettant de les atteindre, ainsi que les interventions cliniques, managériales, politiques, législatives et autres requises pour infléchir les indicateurs de mortalité maternelle et néonatale. Le document comporte six (6) parties:-la méthodologie d’élaboration;-l’analyse des progrès en matière de réduction de la mortalité maternelle et néonatale; -le cadre stratégique;-le cadre de mise en œuvre;-les plans d’actions budgétisés par niveau de la pyramide sanitaire; -le cadre de coordination, et de suivi / évaluation.
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Buruli ulcer – community information sheet (October 2018)
This is the 3rd edition of the Nursing Service Standard manual and its contains nursing professionals ethics, roles and responsibilities of nurses in delivering the nursing services.
This edition of the nursing services, administrative manual has the revised activities of various nursing ac
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tivities. It also has additional services incorporated : Like Individual Work Plan (IWP), Nursing Care Process and Guideline and Standards Operating Procedures (SOPs).
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Epidemic meningitis is a major public health challenge in the African 'meningitis belt', an area that extends from Senegal to Ethiopia with an estimated total population of 500 million. Since 2002, the World Health Organization (WHO), in collaboration with its collaborating centres for meningitis, h
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as progressively supported countries in implementing a strategy of ES for meningitis. The strategy is the recommended standard for all countries of the Belt and it is now actively being implemented at different levels in all countries.
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For the primary health worker in a low/middle-income country (LMIC) setting, delivering quality primary care is challenging. This is often complicated by clinical guidance that is out of date, inconsistent and informed by evidence from high-income countries that ignores LMIC resource constraints and
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burden of disease. The Knowledge Translation Unit (KTU) of the University of Cape Town Lung Institute has developed, implemented and evaluated a health systems intervention in South Africa, and localised it to Botswana, Nigeria, Ethiopia and Brazil, that simplifies and standardises the care delivered by primary health workers while strengthening the system in which they work. At the core of this intervention, called Practical Approach to Care Kit (PACK), is a clinical decision support tool, the PACK guide. This paper describes the development of the guide over an 18-year period and explains the design features that have addressed what the patient, the clinician and the health system need from clinical guidance, and have made it, in the words of a South African primary care nurse, ‘A tool for every day for every patient’. It describes the lessons learnt during the development process that the KTU now applies to further development, maintenance and in-country localisation of the guide: develop clinical decision support in context first, involve local stakeholders in all stages, leverage others’ evidence databases to remain up to date and ensure content development, updating and localisation articulate with implementation.
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Midwifery Capacity Building Strategy for Northern Syria
2017-2021
Available in Arabic
Midwifery Capacity Building Strategy for Northern Syria
2017-2021
Censos Nacionales 2017: XII de Población, VII de Vivienda y III de Comunidades Indígenas
Vaksen MMRV (Lawoujòl, Malmouton,
Ribeyòl, ak Varisèl): Sa Ou Dwe Konnen
Guía de Práctica Clínica: Para la tamización, diagnóstico y tratamiento de personas con infección por el virus de la hepatitis C
Ministerio de Salud y Protección Social Colombia; Instituto de Evaluación tecnológica en Salud
Asociación Colombiana de Infectiologiá ACIN
(2018)
C1
El manual se enmarca dentro del tercer lineamiento de la Política Sectorial en Salud Mental.Orienta las acciones para el “Cuidado de la Salud Mental de la población con énfasis en condiciones de mayor vulnerabilidad”. Los Primeros Auxilios Psicológicos se brindan como parte de la primera res
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puesta ante una emergencia y/o desastre y sus beneficios radican en reducir el nivel de afectación psicológica.
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La publicación describe consejos prácticos con indicaciones claras y precisas para actuar ante una emergencia. Está destinado a cualquier persona que precise realizar acciones prioritarias a víctimas lesionadas o repentinamente enfermas. Sus páginas fueron escritas de una manera sencilla, evita
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ndo vocabulario médico engorroso, con el fin de que en una sola lectura atenta se puedan capturar los conceptos más significativos de las acciones.
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Tuberculosis "Disease of Many, everyone's fight''
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
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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.
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Because of the limited access to more powerful diagnostic tools, there is a paucity of data regarding the burden of fungal infections in Burkina Faso. The aim of this study was to estimate the incidence and prevalence of serious fungal infections in this sub-Saharan country. We primarily used the na
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tional demographic data and performed a PubMed search to retrieve all published papers on fungal infections from Burkina Faso and its surrounding West African countries. Considering the prevalence of HIV infection (0.8% of the population) and a 3.4% incidence of cryptococcosis in hospitals, it is estimated that 459 patients per year develop cryptococcosis. For pneumocystosis, it is suggested that 1013 new cases occur every year. Taking into account the local TB frequency (population prevalence at 0.052%), we estimate the prevalence of chronic pulmonary aspergillosis at 1120 cases. Severe forms of asthma with fungal sensitization and allergic bronchopulmonary aspergillosis are estimated to affect 7429 and 5628 cases, respectively. Vulvovaginal candidiasis may affect 179,000 women, and almost 1,000,000 children may suffer from tinea capitis. Globally, we estimate that roughly 1.4 million people in Burkina Faso (7.51% of the population) suffer from a serious fungal infection. These data should be used to drive future epidemiological studies, diagnostic approaches, and therapeutic strategies.
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