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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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Modelling historical changes in the force-of-infection of Chagas disease to inform control and elimination programmes: application in Colombia

Cucunubá, Z.; Nouvellet, P.; Conteh, L. et al. BMJ Global Health (2022) CC

BMJ Glob Health 2017;2:e000345. doi:10.1136/bmjgh-2017-000345. WHO's 2020 milestones for Chagas disease include having all endemic Latin American countries certified with no intradomiciliary Trypanosoma cruzi transmission, and infected patients under care. Evaluating the variation in historical expo... more

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PATS and ERS joint webinar: Non-CF Bronchiectasis - Diagnostic approach and Management

Pan African Thoracic Society (2021) CC2

PATS & ERS Paediatric Webinar Series Non- CF Bronchiectasis: Diagnostic Approach and Management

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Maintien d’un approvisionnement en sang sûr et suffisant et collecte de plasma de convalescent dans le contexte de la pandémie de COVID-19 : orientations provisoires, 17 février 2021

Organisation mondiale de Santé (2021) C_WHO

This document provides interim guidance on the management of the blood supply in response to the pandemic outbreak of coronavirus disease (COVID-19). It emphasizes the importance of being prepared and responding quickly and outlines key actions and measures that the blood services should take to mit... more

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Appropriate Uses of Human Immunoglobuline in Clinical Practice: Memorandum from an IUIS/WHO meeting

C. Cunningham-Rundles, L.A. Hanson, W.H. Hitzig et al. WHO (1982)

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WHO recommendations on newborn health: Guidelines approved by the WHO Guidelines Review Committee
recommended

World Health Organization (WHO) (2017) C_WHO

Updated May 2017
This document is meant to respond to the questions:
■ What health interventions should be the newborn and young infants < 2 months of age receive and when should s/he receive it?
■ What health behaviours should a mother/caregiver practise (or not practise)?

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L’OMS appuie l’élaboration du plan stratégique MTN 2022-2026 (Nouvelle Génération) du Ministère de la Santé

World Health Organisation (WHO) (2022) C_WHO

Les maladies concernées sont les schistosomiases, les géohelminthiases, la lèpre, la rage, la dengue, la leishmaniose, le mycétome, et les envenimassions par morsure de serpents. Tout comme plusieurs autres pays, la Mauritanie se trouve actuellement à un stade où le trachome n'est plus c... more

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WHO's Health Emergency Appeal 2024

World Health Organization WHO (2024) C_WHO

In 2024, we need US$1.5 billion to provide live-saving health care to millions of people in emergencies. An alarming combination of conflict, climate-related threats and increasing economic hardship mean an estimated 166 million people require health assistance.

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Directives sur la qualité de l'eau de boisson: petits approvisionnements en eau - Résumé d'orientation

World Health Organization WHO (2024) C_WHO

Ces Directives sur la qualité de l’eau de boisson : petits approvisionnements en eau ont été élaborées pour aborder les besoins et les possibilités associés aux petits approvisionnements afin de favoriser l’amélioration progressive vers des services d’alimentation en eau de boisson sû... more

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Health Systems Assessment Approach

USAID, Health Systems 2020, Partners for Health Reformplus, Quality Assurance Project, and Rational Pharmaceutical Managemen, Management Sciences for Health Mursaleena Islam (2007)

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Drug use disorders: impact of a public health rather than a criminal justice approach

N. D. Volkow; V. Poznyak; S. Saxena; et al. Wiley Online Library (2017) CC

World Psychiatry16:2 - June 2017 First published: 12 May 2017 https://doi.org/10.1002/wps.20428 Volume16, Issue2; Pages 213-214

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Reforms in the Health Sector in Ukraine. Revolutionizing care: Ukraine's sectoral approach to anti-corruption health

Steingrüber, S. World Bank (2022) C2

Following the 2014 Euromaidan Revolution, Ukraine embarked on a national reform program to reduce widespread corruption within government. In the health sector, the government introduced several complementary reforms that aimed to improve the health outcomes of Ukrainian citizens, but designed in su... more

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Beyond Pandemics: A Whole-of-Society Approach to Disaster Preparedness

Steve Aldrich, et al. Towards a Safer World; USAID; Prevent Project; WHO; et al. (2011)

Carribean: IOM Appeal for Hurricanes Irma and Jose - September-December 2017 (15 September 2017)

International Organization for Migration IOM (2017) C1

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WHO recommendations on child health: Guidelines approved by the WHO Guidelines Review Committee
recommended

World Health Organization (WHO) (2017) C_WHO

Updated May 2017
This document is meant to respond to the questions:
■ What health interventions should the child receive and when should s/he receive it?
■ What health behaviours should a mother/caregiver practise (or not practise)?

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Blueprint for a Public Health and Safety Approach to Drug Policy

Tracy Pugh, Julie Netherland, Ruth Finkelstein The New York Academy of Medicine, Drug Policy Alliance (2013) C2

"Some of the problems with our current drug policies stem from the fact that these policies have been largely bifurcated between two different and often contradictory approaches. One treats drug use as a crime that cannot be tolerated and should be punished; the other views addiction as a chronic re... more

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Approaching 2020: Scaling up key interventions for children and adolescents living with HIV

Children &AIDS; Unicef; Pata; et al. (2019) C2

Child Survival Working Group Accessed: 02.11.2019

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A primary health care approach to obesity prevention and management in children and adolescents: policy brief

World Health Organisation (WHO) (2023) C_WHO

Obesity in all age groups, including children and adolescents, is a public health challenge across all settings. Obesity is now classified as a complex multifactorial chronic disease and not just a risk factor for other noncommunicable diseases and comorbidities. Recognizing the significance of prim... more

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Appendix V: Status of the WHO framework convention on tobacco control

World Health Organization WHO (2017) C_WHO

WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2017

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Madagascar: Plague Outbreak Emergency Appeal n°MDRMG013

International Federation of Red Cross And Red Crescent Societies (2017) C1

WHO recommendations on newborn health: Guidelines approved by the WHO Guidelines Review Committee recommended

WHO recommendations on child health: Guidelines approved by the WHO Guidelines Review Committee recommended

WHO recommendations on newborn health: Guidelines approved by the WHO Guidelines Review Committee
recommended

WHO recommendations on child health: Guidelines approved by the WHO Guidelines Review Committee
recommended