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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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UNAIDS Data 2018

UNAIDS (2018) C2

UNAIDS 2018 reference

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State of Health in the WHO African Region
recommended

World Health Organization WHO, Regional Office African Region (2018) C_WHO

This report is not a country scorecard. Rather, its purpose is to act as a compass to guide progress towards health in the SDGs. There has been a significant improvement in the state of health in the region with healthy life expectancy - time spent in full health - in the region increasing from 50... more

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Standards of Medical Care in Diabetes—2019 Abridged for Primary Care Providers

American Diabetes Association (2018) CC

This is an abridged version of the 2019 Standards containing the evidence-based recommendations most pertinent to primary care. The tables and figures have been renum-bered from the original document to match this version. The complete 2019 Standards of Care do... more

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Primary Health Care As An Enabler For “Ending The Epidemics” Of High-Impact Communicable Diseases

World Health Organization WHO (2018) C_WHO

The Millennium Development Goals (MDGs) showed that global commitment and collective action could significantly reduce the disease burdens of three deadly communicable diseases: HIV/AIDS, tuberculosis (TB) and malaria. The MDGs helped focus efforts on these three deadly diseases and leveraged ... more

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National HIV, Hepatitis and STI programme managers meeting for selected asian and pacific island countries

World Health Organization (Western Pacific Region) (2018) C_WHO

Meeting Report 27–30 June 2017 Manila, Philippines

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Catalysing the HIV response for adolescents

Unicef; UNAIDS (2018)

In eastern and southern Africa #EndAdolescentAIDS July 2018 - A global call to action - Case studies - Blogs - Next steps

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Health of refugees and migrants. WHO Region Europe 2018

World Health Organization WHO, Regional Office for Europe (2018) C_WHO

Regional situation analysis, practices, experiences, lessons learned and ways forward.

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WHO recommendations on adolescent sexual and reproductive health and rights

World Health Organization WHO (2018) C_WHO

This document provides an overview of sexual and reproductive health and rights issues that may be important for the human rights, health and well-being of adolescents (aged 10–19 years) and the relevant World Health Organization (WHO) guidelines on how to address them in an easilyaccessible, user... more

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National HIV Service Quality Improvement Tool Kit

Ministry of Health, Ethiopia (2018) C1

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Still at risk: Restrictions endanger Rohingya women and girls in Bangladesh

Vigaud-Walsh, Francisca Refugees International (RI) (2018) C1

In April 2018, Refugees International (RI) conducted a mission to Bangladesh, to research the GBV (gender-based violence) response for Rohingya women and girls. RI found that the entire humanitarian system is struggling under tremendous constraints in Bangladesh, and protection and health actors do ... more

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Facility Delivery and Postnatal Care Services Use among Mothers Who Attended Four or More Antenatal Care Visits in Ethiopia: Further Analysis of the 2016 Demographic and Health Survey

Abeje Fekadu, G. F. Ambaw Getahun; and S. Ayenalam Kidanie (2018) CC

Demographic and Health Surveys, Working Paper

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Ethiopia Malaria Operational Plan FY 2018

PEPFAR (2018) C1

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Delivering quality health services: A global imperative for universal health coverage

Kieny, Marie-Paule; Evans, Timothy Grant; Scarpetta, Stefano; Kelley, Edward T.; Klazinga, Niek; Forde, Ian; Veillard, Jeremy Henri Maurice; Leatherman, Sheila; Syed, Shamsuzzoha; Kim, Sun Mean; Nejad, Sepideh Bagheri; Donaldson, Liam World Health Organization (WHO), Organisation for Economic Co-operation and Development (OECD), and The World Bank (2018) C_WHO

Poor quality health services are holding back progress on improving health in countries at all income levels.
Today, inaccurate diagnosis, medication errors, inappropriate or unnecessary treatment, inadequate or unsafe clinical facilities or practices, or providers who lack adequate training an... more

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Situational analysis of quality improvement in maternal and neonatal health care, Sierra Leone

United Nations Population Fund UNFPA (2018) CC

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Brighter futures: Protecting early brain development through salt iodization

United Nations Children’s Fund (UNICEF), Global Alliance for Improved Nutrition (GAIN) (2018)

The UNICEF-GAIN Partnership Project
The report notes that iodine deficiency is a leading cause of preventable brain damage worldwide. Insufficient iodine during pregnancy and infancy results in neurological and psychological deficits, reducing a child’s IQ by 8 to 10 points. This translates ... more

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Survive, Thrive, Transform — Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030)

Joint United Nations Programme on HIVAIDS (UNAIDS) (2018) C1

2018 monitoring report: current status and strategic priorities
The report sets out the status of women’s, children’s and adolescents’ health, and on health systems and social and environmental determinants. Regional dashboards on 16 key indicators highlight where progress is being made o... more

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Determinants of Maternal Care-Seeking in Kenya

Samwel Mbugua, Kerry L. D. MacQuarrie (2018) C1

DHS Further Analysis Reports No. 111
This study is a theory-driven analysis of the socio-demographic determinants of maternal care seeking in Kenya. Specifically, it examines predisposing, enabling, and need factors potentially associated with use of antenatal care (ANC), health facility delive... more

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Coverage at a crossroads: New directions for vitamin A supplementation programmes

United Nations Children’s Fund (UNICEF) (2018)

In where under-five mortality is high and vitamin A deficiency is a public health problem, two high-dose supplements of vitamin A per year, spaced four to six months apart, can strengthen children’s immune systems and improve their chances of survival.
During much of early childhood – from... more

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Disability-inclusive social protection research in Vietnam

Banks, Lena M., Walsham, Matthew and others International Centre for Evidence in Disability (2018) C1

A national overview with a case study from Cam Le district
The overall aims of this study are (1) to assess the extent to which social protection systems in Vietnam address the needs of people with disabilities; and (2) to identify and document elements of good practice, as well as challenges, ... more

State of Health in the WHO African Region recommended

State of Health in the WHO African Region
recommended