Bull World Health Organ 2020;98:773–780
Universal health coverage (UHC) depends on a strong primary health-care
system. To be successful, primary health care must be expanded at community and household levels as much of the world’s population still lacks access to health facilities for basic... services. Abundant evidence shows that community-based interventions are effective for improving health-care utilization and outcomes when integrated with facility-based services. Community involvement is the cornerstone of local, equitable and integrated primary health care.
more
Le Plan Stratégique Multisectoriel d’Élimination du Choléra en République Démocratique du Congo (2013-2017) vise à réduire l’incidence du choléra à moins d’un cas pour 100 000 habitants. Ce plan repose sur une approche multisectorielle, combinant santé, eau, hygiène et assainissemen...t pour enrayer la transmission du choléra.
Il identifie trois types de zones : zones sources (A), zones épidémiques (B) et zones de diffusion (C), chacune nécessitant des interventions adaptées. Les stratégies incluent l’amélioration des infrastructures d’eau potable et d’assainissement, la surveillance épidémiologique, la prévention, la prise en charge médicale et la coordination des actions.
Malgré des progrès dans certaines régions, la mise en œuvre du plan a rencontré des défis, notamment en raison du manque de financements et de la persistance de foyers endémiques dans l'Est du pays. Une coordination nationale et internationale est essentielle pour mobiliser les ressources et atteindre l'objectif d'élimination du choléra en RDC.
more
Joint United Nations Programme on HIV/AIDS (UNAIDS).
A survival guide for clinicans.
3rd edition.
The purpose of this document is to provide guidance on the use of pooled sample testing strategy in coronavirus disease (COVID-19)
testing laboratories of the African Union Member States for scaling up SARS-CoV-2 nucleic acid testing capacity with the available resources. The current document descr...ibes the effect of factors such as the prevalence of COVID-19 in the population to be tested, the homogeneity of pools, and the sensitivity of the molecular test in optimal pool size determination. It also highlights the importance of monitoring the prevalence of COVID-19 in a population to be tested and proper validation of the test, to limit the potential for false-negative results. Validation studies to determine the optimal pool size by testing laboratories are recommended as the optimum approach. A safe, simple ‘two-stage pooling’ option has been indicated in this guidance to be used by laboratories until such validation can be achieved.
more
Plan du Bulletin
I- Variation des principaux indicateurs entre Janvier-Septembre_2016 et Janvier-
Septembre_2017
II- Niveau des Indicateurs au 30 Septembre 2017
A. Le niveau des indicateurs de morbidité et de mortalité
B. Carte score Paludisme au 30 Septembre 2017
C. Indicateurs... du Paludisme par région médicale au 30 Septembre 2017
D. Indicateurs du Paludisme par district sanitaire au 30 Septembre 2017
E. Indicateurs du Paludisme par établissement public de santé au 30 Septembre 2017
III- Données communautaires au 30 Septembre 2017
IV- Résultats des investigations de cas menées dans les districts en pré élimination au
30 Septembre 2017
more
A practitioner’s guide to the principles of COVID-19 vaccine communications.
The factors that lead people to make choices to take vaccines are nuanced and affected by how they see the world, their perceptions of the choices people like them will make, who they trust, their perceptions of risk,... consistency of message and convenience of actually getting the vaccine.
more
Enhancing Men’s Role in HIV Prevention
Cardiovascular disease (CVD) is the leading cause of global deaths, with the majority occurring in low- and middle-income countries (LMIC). The primary and secondary prevention of CVD is suboptimal throughout the world, but the evidence-practice gaps are much more pronounced in LMIC. Barriers at the... patient, health-care provider, and health system level prevent the implementation of optimal primary and secondary prevention. Identification of the particular barriers that exist in resource-constrained settings is necessary to inform effective strategies to reduce the identified evidence-practice gaps. Furthermore, targeting modifiable factors that contribute most significantly to the global burden of CVD, including tobacco use, hypertension, and secondary prevention for CVD will lead to the biggest gains in mortality reduction. We review a select number of novel, resource-efficient strategies to reduce premature mortality from CVD, including: (1) effective measures for tobacco control; (2) implementation of simplified screening and management algorithms for those with or at risk of CVD, (3) increasing the availability and affordability of simplified and cost-effective treatment regimens including combination CVD preventive drug therapy, and (4) simplified delivery of health care through task-sharing (non-physician health workers) and optimizing self-management (treatment supporters). Developing and deploying systems of care that address barriers related to the above, will lead to substantial reductions in CVD and related mortality.
more
In the context of the coronavirus disease (COVID-19) pandemic response, WHO identifies young people as a priority target audience with specific concerns, experiences and behaviours. This policy brief provides relevant insights from behavioural evidence and a set of behavioural considerations for tho...se promoting COVID-19 preventive behaviours among young people. Designers of programmes and initiatives targeting youth may find it helpful to refer to the youth-specific barriers and drivers identified in this policy brief and to prioritize these for testing when planning initiatives targeted at young people.
more
New data from the WHO reveal that an estimated 2.2 billion cases of malaria and 12.7 million deaths have been averted since 2000, but the disease remains a serious global health threat, particularly in the WHO African Region. According to WHO’s latest World malaria report, there were an estimated ...263 million cases and 597 000 malaria deaths worldwide in 2023. This represents about 11 million more cases in 2023 compared to 2022, and nearly the same number of deaths. Approximately 95% of the deaths occurred in the WHO African Region, where many at risk still lack access to the services they need to prevent, detect and treat the disease.
more