Type 1 diabetes mellitus (T1DM) is less common than type 2 diabetes mellitus but is increasing in frequency in South Africa. It tends to affect younger individuals, and upon diagnosis, exogenous insulin is essential for survival. In South Africa, the health care system is divided into private and pu...blic health care systems. The private system is well resourced, whereas the public sector, which treats more than 80% of the population, has minimal resources. There are currently no studies in South Africa, and Africa at large, that have evaluated the immediate and long-term costs of managing people living with T1DM in the public sector.
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Introduction Community health workers (CHWs) are increasingly being tasked to prevent and manage cardiovascular disease (CVD) and its risk factors in underserved populations in low-income and middle-income countries (LMICs); however, little is known about the required training necessary for them to ...accomplish their role. This review aimed to evaluate the training of CHWs for the prevention and management of CVD and its risk factors in LMICs.
Methods A search strategy was developed in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and five electronic databases (Medline, Global Health, ERIC, EMBASE and CINAHL) were searched to identify peer-reviewed studies published until December 2016 on the training of CHWs for prevention or control of CVD and its risk factors in LMICs. Study characteristics were extracted using a Microsoft Excel spreadsheet and quality assessed using Effective Public Health Practice Project’s Quality Assessment Tool. The search, data extraction and quality assessment were performed independently by two researchers.
Results The search generated 928 articles of which 8 were included in the review. One study was a randomised controlled trial, while the remaining were before–after intervention studies. The training methods included classroom lectures, interactive lessons, e-learning and online support and group discussions or a mix of two or more. All the studies showed improved knowledge level post-training, and two studies demonstrated knowledge retention 6 months after the intervention.
Conclusion The results of the eight included studies suggest that CHWs can be trained effectively for CVD prevention and management. However, the effectiveness of CHW trainings would likely vary depending on context given the differences between studies (eg, CHW demographics, settings and training programmes) and the weak quality of six of the eight studies. Well-conducted mixed-methods studies are needed to provide reliable evidence about the effectiveness and cost-effectiveness of training programmes for CHWs.
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Hypertension is the leading preventable risk factor for cardiovascular diseases and disability globally. In low- and middle-income countries hypertension has a major social impact, increasing the disease burden and costs for national health systems. The present call to action aims to stimulate all A...frican countries to adopt several solutions to achieve better hypertension management. The following 3 goals should be achieved in Africa by 2030: (1) 80% of adults with high blood pressure in Africa are diagnosed; (2) 80% of diagnosed hypertensives, that is, 64% of all hypertensives, are treated; and (3) 80% of treated hypertensive patients are controlled. To achieve these aims, we call on individuals and organizations from government, private sector, health care, and civil society in Africa and indeed on all Africans to undertake a few specific high priority actions. The aim is to improve the detection, diagnosis, management, and control of hypertension, now considered to be the leading preventable killer in Africa.
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Indoor air pollution is caused by burning solid fuel sources – such as firewood, crop waste, and dung – for cooking and heating.
Burning such fuels, particularly in poor households, results in air pollution that leads to respiratory diseases, which can result in premature death. The WHO calls... indoor air pollution "the world's largest single environmental health risk."
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In 2015, Member States and the global health community committed to reduce premature mortality from
noncommunicable diseases (NCDs) by one third by 2030 (SDG target 3.4). Despite growing efforts, the pace of change in
most countries, and the policies and regulations required to achieve this goal, ...are too slow, inadequate or insufficient.
Recognizing that public sector efforts alone are insufficient to address the prevention and control of NCDs, the Global
NCD Action Plan emphasizes the need for coordinated multisectoral and multistakeholder engagement, acknowledging
the role of nongovernmental organizations – including civil society groups, individuals with lived experience, academic
institutions and private sector entities. However, WHO notes that some Member States still have limited or no capacity
to establish or manage the implementation of engagement with private sector entities for the prevention and control of
noncommunicable diseases
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English and french/ anglais et francais
Childhood immunisation is one of the most cost-effective health interventions. However, despite its known value, global access to vaccines remains far from complete. Although supply-side constraints lead to inadequate vaccine coverage in many health systems, there is no comprehensive analysis of the... funding for immunisation. We aimed to fill this gap by generating estimates of funding for immunisation disaggregated by the source of funding and the type of activities in order to highlight the funding landscape for immunisation and inform policy making.
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Estimates of government spending and development assistance for tuberculosis exist, but less is known
about out-of-pocket and prepaid private spending. We aimed to provide comprehensive estimates of total spending on
tuberculosis in low-income and middle-income countries for 2000–17.
The objective of Critical Considerations and Actions for Achieving Universal Access to Sexual and Reproductive Health in the Context of Universal Health Coverage through a Primary Health Care Approach is to provide guidance to WHO Member States for ensuring progress towards universal access to compr...ehensive sexual and reproductive health (SRH) in the context of primary health care (PHC)- and universal health coverage (UHC)-related policy and strategy reforms.
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Conformément aux dispositions de l’article 19 de la Constitution de l’Organisation internationale du Travail (OIT), le Conseil d’administration, à sa 334e session (octobre-novembre 2018), a décidé que l’Étude d’ensemble qui devait être préparée par la Commission d’experts pour l...application des conventions et recommandations (CEACR) en 2020 et présentée à la
Conférence internationale du Travail (la conférence) en 2021 porterait sur quatre instruments relatifs au travail décent pour les travailleurs du soin et des services à la personne dans une économie en évolution: la convention (no 149) et la recommandation (no 157) sur le personnel infirmier, 1977, la convention (no 189) et la recommandation (no 201) sur les travailleuses et
travailleurs domestiques, 20111 . L’Étude d’ensemble examinerait en profondeur la situation en droit et en pratique des travailleurs du soin et des services à la personne au regard des conventions nos 149 et 189.
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Le résumé d’orientation du Rapport de situation de l’OMS sur la santé bucco-dentaire dans le monde passe en revue les données les plus récentes sur les principales maladies bucco-dentaires, les facteurs de risque, ainsi que les défis à relever et les possibilités de réforme du système ...de santé. Le rapport établit comme constat clair que la situation de la santé bucco-dentaire dans le monde est alarmante et nécessite une action urgente. Le rapport servira de référence aux décideurs et permettra d’orienter un large éventail de parties prenantes dans différents secteurs en vue de guider les efforts de sensibilisation en faveur d’une meilleure définition des priorités en matière de santé bucco-dentaire dans les contextes mondiaux, régionaux et nationaux. En outre, le rapport fournit, par le biais d’une ressource en ligne distincte, les tout premiers profils de la santé bucco-dentaire des pays pour l’ensemble des 194 États Membres de l’OMS, donnant un aperçu unique des domaines et des marqueurs clés de la santé bucco-dentaire qui sont pertinents pour les décideurs.
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The Lancet Vol.400 (2022) p.17-67-1776. Published:October 31, 2022DOI:https://doi.org/10.1016/S0140-6736(22)01884-0.
Surgical site infection (SSI) is the most common complication of surgery around the world: ChEETAh trial finds routinely changing gloves and instruments for wound closure could preve...nt as many as one in eight SSIs in abdominal surgery
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Дитячий фонд ООН (ЮНІСЕФ) доставив на Полтавщину критично важливу гуманітарну допомогу на 800 000 доларів. 340 тон гуманітарного вантажу мають покрити потреби більш як ...півмільйона мешканців Полтавcької області.
Велика частина вантажу - товари медичного призначення: акушерські та гігієнічні набори, бинти, глюкоза, інфузійні та аспіраційні помпи, портативні реєстратори електрокардіографії, портативні апарати ультразвукової
діагностики, пульсоксиметри.
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El objetivo de esta publicación es ofrecer un enfoque práctico y gradual para la aplicación de los planes de acción nacionales sobre la RAM en el sector de la salud humana; y proporcionar un proceso y una recopilación de las herramientas existentes de la OMS para priorizar, costear, aplicar, su...pervisar y evaluar las actividades del plan de acción nacional. Los destinatarios de la publicación son las partes interesadas nacionales/subnacionales que trabajan en la RAM dentro del sector de la salud humana. Se trata de las autoridades sanitarias nacionales, los grupos de coordinación multisectorial nacionales, los expertos técnicos de alto nivel y los responsables de la formulación de políticas que participan en la ejecución de las actividades relativas a la RAM en todos los niveles del sistema de salud, y los asociados en la ejecución para acelerar la aplicación sostenible y el seguimiento y la evaluación de los planes de acción nacionales sobre la RAM.
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This technical brief describes the re-affirmed WHO recommendation on ultrasound examination in the context of routine antenatal care and outlines policy and programme implications for translating this recommendation into action at the country level.
Orientations provisoires 19 juillet 2021
Expressa Extensão Capa > v. 26, n. 1 (2021)
Este trabalho, abordar debates e questionamentos sobre a eficácia e a segurança da manipulação e aplicação das vacinas. Os autores perceben, nesse período de pandemia, onde aguarda-mos ansiosos por uma resposta da ciência em relação a uma vacin...a para o Covid-19, ressurge o debate antivacina.
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