This document describes the key areas that national governments should consider for the introduction and scale-up of point-of-care (POC) diagnostics within national programmes, as new innovative POC technologies are being introduced into the market. The next steps taken to include these new innovati...ons within the broader context of national diagnostic networks of conventional laboratories could influence the achievement of the 2030 Fast Track targets for ending the AIDS epidemic.
POC diagnostics, when strategically introduced and integrated into national diagnostic networks, may help catalyse changes that improve the way diagnostics and clinical services are delivered. This document distils this understanding based on programmatic and market experiences of introducing POC diagnostics through catalytic investments in POC HIV technologies across numerous countries in sub-Saharan Africa.
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Konzepte und Modelle zur Umsetzung der EU-Richtlinien für besonders schutzbedürftige Asylsuchende.Die unterschiedlichen Modelle werden vorgestellt, wie auch die teilweise zum Einsatz gekommenen Screeningfragebögen. Abgeleitet aus den Vor- und Nachteilen dieser Modelle wird das Konzept der BAfF f...r qualifizierte Verfahren zur Feststellung, fachspezifischen Bedarfsermittlung, Erstversorgung und Behandlung von besonders schutzbedürftigen Gruppen vorgestellt, welches Anforderungen an den Prozess sowie Qualifikationsmerkmale der involvierten AkteurInnen integriert. - See more at: http://www.baff-zentren.org/veröffentlichungen-der-baff/hintergrundmaterial/#sthash.9ANwllZF.dpuf
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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.
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This guide is intended to support national governments developing their national deployment and vaccination plans (NDVPs) for COVID-19 vaccines by outlining the roles, needs and opportunities for community health workers (CHWs) to contribute. This note builds on and is structured to align with the G...uidance on developing a national deployment and vaccination plan for COVID-19 vaccines. By providing CHW-relevant considerations for the VIRAT Tool, this document aims to support national governments in developing robust NDVPs for introducing COVID-19 vaccine(s) that leverage all the community-based deployment, implementation and monitoring tools at their disposal.
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Ansaätze zur interkulturellen Öffnung. Die von der Bundesbeauftragten für Migration, Flüchtlinge und Integration herausgegebene Publikation „Das kultursensible Krankenhaus“ liegt nun in einer vollständig aktualisierten und überarbeiteten Fassung vor und kann kostenfrei heruntergeladen und ...bestellt werden. Die Publikation stellt Konzepte und Praxisbeispiele vor, die dazu beitragen können, den Ar-beitsalltag im Krankenhaus besser auf Patient*innen sowie Beschäftigte mit Einwande-rungsgeschichte einzustellen
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The purpose of this publication is to facilitate the implementation of existing WHO guidelines on nutrition-specific and nutrition-sensitive actions required for improving health and well-being of adolescents. Implementing these actions should explicitly take into account the heterogeneity of adoles...cents in general (for instance, in their state of physical growth and social development), as well as the diversity within their country (for instance, in terms of the expected responsibilities in the family, the number out of school or out of work and existing social norms).
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Diese dienen als Leitlinien zur Entwicklung, Umsetzung und dem Monitoring von unterkunftsspezifischen Schutzkonzepten. Differenziert nach zentralen Handlungsfeldern zeigen die Mindeststandards einen Weg auf, wie der bedarfsgerechte Schutz von geflüchteten Menschen in Unterkünften für Geflüchtete... sichergestellt werden kann. Annexe zur Umsetzung der Mindeststandards für LSBTI* Geflüchtete, geflüchtete Menschen mit Behinderung und geflüchtete Menschen mit Traumafolgestörungen komplementieren die Mindeststandards. In einem mehrstufigen Prozess unter Beteiligung der Partner:innenorganisationen der Bundesinitiative, Vertreter:innen aus Landesministerien, Landes- und kommunalen Behörden sowie Gewaltschutzkoordinator:innen und -multiplikator:innen wurden die Mindeststandards 2021 aktualisiert (April 2021).
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Recently, a renewed interest in large-scale community health worker (CHW) programs has been seen globally. This renewal provides an opportune moment to take stock of issues and challenges such programs face and what can be done to make them as effective as possible. With this in mind, this manual is... intended to be used a practical guide for policymakers and program
managers wishing to develop or strengthen a CHW program, drawing lessons from other countries that have implemented CHW programs at-scale. Throughout, we discuss major policy and programmatic issues that decision-makers and planners need to consider when designing, implementing, scaling up or strengthening a national-level CHW program. We offer an overview
of specific challenges CHW programs face, country lessons, tools, and other resources that may be helpful, while incorporating relevant programmatic examples as much as possible.
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Die Broschüre wendet sich deshalb in erster Linie an Menschen, die noch
nicht bei einer Psychotherapeut*in waren. Aber auch Menschen, die bereits bei einer Psychotherapeut*in gewesen sind, können sich hier noch einmal über die aktuellen psychotherapeutischen Angebote und Hilfen informieren. Die ...Broschüre bietet verständliche Informationen darüber, was eine psychische Erkrankung ist, wann ein erster Termin bei einer Psychotherapeut*in ratsam ist und wann eine Behandlung notwendig ist.
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Lancet Planet Health 2019; 3: 469–77
This was a Phase 3, multi-center, randomized, open-label, parallel-group, active control study where 273 male and female patients with first stage Trypanosoma brucei gambiense HAT were treated at six sites: one trypanosomiasis reference center in Angola, one hospital in South Sudan, and four hospita...ls in the Democratic Republic of the Congo between August 2005 and September 2009 to support the registration of pafuramidine for treatment of first stage HAT in collaboration with the United States Food and Drug Administration. Patients were treated with either 100 mg of pafuramidine orally twice a day for 10 days or 4 mg/kg pentamidine intramuscularly once daily for 7 days to assess the efficacy and safety of pafuramidine versus pentamidine. Pregnant and lactating women as well as adolescents were included.
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The WHO Quality Health Services: a planning guide focuses on actions required at the national, district and facility levels to enhance quality of health services, providing guidance on implementing key activities at each of these three levels. It highlights the need for a health systems approach to ...enhance quality of care, with a common understanding on the activities needed by all stakeholders. The guide articulates the key actions required to improve the quality of health services for the entire population. It recognizes that the path varies for each country, district and facility – stimulating the reader to consider multiple factors and entry points for action. This planning guide is for staff working at all levels of the health system (i.e. national, district and facility) who have a role in enhancing the quality of health services. It is also relevant to all stakeholders initiating and supporting action at facility, district and/or national levels both in the public and private sectors.
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Dieser Leitfaden enthält Informationen und praktische Tipps für die Beratung von Migrantinnen und Migranten. Er gibt Anregungen, wie die Fachstellen den Zugang zu ihren Angeboten erleichtern können und weist auf mehrsprachiges Informationsmaterial und Bezugsqüllen hin.
Los avances en el tratamiento del cáncer pediátrico han permitido ampliar las iniciativas más allá de la curación y abarcar aspectos como la detección precoz, la continuidad del tratamiento y la reducción de su toxicidad. Todo ello ha abierto paso a una visión más integral del cuidado de lo...s pacientes, lo que supone mejores oportunidades de curación y una vida más plena, objetivos de la Iniciativa Mundial contra el Cáncer Infantil. Dentro de ese cuidado integral, la atención psicosocial incluye las dimensiones social, psicológica, espiritual y funcional del proceso de enfermedad de los pacientes. Esta serie recoge una serie de orientaciones y normas basadas en la evidencia que garantizan la calidad de dicha atención. Las normas son el resultado de la discusión y la revisión de distintos profesionales de América Latina y el Caribe. El módulo 1 se centra en la evaluación psicosocial como estrategia de apoyo a los objetivos de la Iniciativa Mundial contra el Cáncer Infantil y como herramienta para que los profesionales de la salud recaben la información necesaria para ofrecer a estos pacientes un abordaje integral enfocado en el bienestar, la adaptación al proceso de enfermedad y la adherencia al tratamiento.
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Le Guide de formation aux actions essentielles de nutrition et aux actions essentielles d'hygiène : Travailleurs communautaires renforce la capacité des travailleurs communautaires à fournir et à promouvoir les actions essentielles en matière de nutrition et d'hygiène. Il présente le contenu ...technique dans le cadre de sessions pratiques de conseil et de négociation, à l'aide de jeux de rôle et de pratiques sur le terrain. Il aide les agents communautaires à comprendre pourquoi et comment intégrer des messages sur la nutrition et l'hygiène dans leurs différentes plates-formes de programme en utilisant une approche de cycle de vie pour délivrer le bon message à la bonne personne au bon moment.
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The greatest risk to persons engaging in international medical emergency response is poor preparation.
The In Control handbook hopes to provide a remedy.
At the time of writing, we are living through the Coronavirus (COVID-19) pandemic, a health emergency that disregards physical borders, brin...gs into focus social inequalities and affects people on every continent. This shared challenge requires unprecedented measures and the collaboration of the brightest minds to support global health protection through this crisis and beyond. Healthcare infrastructures have to be strengthened, public health capacities and processes upgraded, medical countermeasures and vaccinations found and psychosocial side-effects treated.
Solidarity is the normative order of the day and the human species has to collaborate to face this invisible threat. Hiding and living in fear is not an option in this interconnected world. We have both a responsibility and an opportunity to make substantial contributions to a safer, healthier and more sustainable future for us all.
The existence of this handbook is an impressive example of solidarity. Over 50 authors from more than 15 institutes and organisations have come together voluntarily within a very short time to make their expertise available and enable cross-sectoral thinking. Knowledge is bundled, resources are combined, information gaps are filled. The In Control handbook is not a theoretical treatise of possible dangers, but a collection of subject-matter expertise, written by experts and practitioners who have shaped health topics over the past 20 years in the most diverse corners of the world.
The Centre for International Health Protection at the Robert Koch Institute (RKI) is collaborating with its partners and investing heavily in the build-up of operational know-how and capacity to support health crisis response abroad. This is done by preparing and enabling professionals to deploy safely across the world to assist those in need. In Control addresses the multi-faceted challenges of an international deployment. Readers will find not only technical medical information, but also insights into, for example, the fragility of our environment, the cultural differences that influence risk communication or the dilemmas arising from social distancing. Legal principles are highlighted, along with ethical guidance to ensure that our actions and decisions correspond to the highest moral standards.
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