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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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Restricting the use of antibiotics in food-producing animals and its associations with antibiotic resistance in food-producing animals and human beings: a systematic review and meta-analysis

K.L Tang, N.P Caffrey, D.B Nóbrega, et al. (2017) CC

Lancet Planet Health 2017 Published Online November 6, 2017 http://dx.doi.org/10.1016/S2542-5196(17)30141-9

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ECDC/EFSA/EMA second joint report on the integratedanalysis of the consumption of antimicrobial agents andoccurrence of antimicrobial resistance in bacteria fromhumans and food-producing animals

European Centre for Disease Prevention and Control (ECDC), European Food Safety Authority (EFSA) andEuropean Medicines Agency (EMA) (2017) C_CDC

The second ECDC/EFSA/EMA joint report on the integrated analysis of antimicrobial consumption (AMC) and antimicrobial resistance (AMR) in bacteria from humans and food-producing animals addressed data obtained by the Agencies’ EU-wide surveillance networks for 2013–2015. AMC in both sectors, exp... more

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Standard Treatment Guidelines and Essential Medicines List for South Africa. Hospital Level: Paediatrics

Department of Health, Republic of South Africa (2017) C1

Fourth Edition

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Creating peer support groups in mental health and related areas WHO QualityRights training to act, unite and empower for mental health (P I L O T V E R S I O N)

World Health Organization WHO (2017) C_WHO

This document has been developed to support countries to develop and strengthen peer support groups in mental health and related areas. It addresses the provision of peer support groups in the context of health services and the wider community.

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MYANMAR/BURMA Breaking Barriers: Advocating Sexual and Reproductive Health and Rights

McGuin, Rachael; Nang Lao Liang Won (Researcher) Asian-Pacific Resource and Research Centre for Women (ARROW) (2016) C1

arrow country studies
Political developments in Myanmar/Burma prompted the Asian-Pacific Resource and Research Centre for Women (ARROW) in 2013 to undertake a small-scale scoping study to re-evaluate and refine its advocacy strategies for sexual and reproductive health and rights (SRHR), and to s... more

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Increasing equity in health service access and financing: Health strategy, policy achievements and new challenges

Annear, Peter Leslie; Veasnakiry, Lo; Momoe Takeuchi World Health Organization (WHO) (2016) C_WHO

Policy note: Cambodia Health Systems in Transition.
The health system includes a mix of public and private providers. The use of private providers is much greater among the wealthy, while the use of informal-sector health providers is greater among the poor. Due to these circumstances there is ... more

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Guidance for Developing a Specimen Transport and Referral System for Viral Load and Infant Virologic HIV Diagnosis Testing Networks

Beard, R. Suzanne; Kasipo, Charles (2016) C1

This document provides a systematic approach in developing a coordinated, standardized, reliable, efficient, cost-effective, and sustainable specimen transport and referral system to support IVHD and VL testing networks. This document provides technical and programmatic recommendations on the approp... more

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Uganda: National Population and Housing Census Final Report 2014

Uganda Bureau of Statistics (UBOS) (2016)

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Prevalence of Pulmonary Tuberculosis among Inmates and Staff of Three Indian Prisons

A. D. Meundi, M. D. Meundi, B. B. Dhabadi British Journal of Medicine & Medical Research; SCIENCEDOMAIN international (2015) C2

British Journal of Medicine & Medical Research 11(4): 1-6, 2016, Article no.BJMMR.21444 ISSN: 2231-0614, NLM ID: 101570965 Published 27th September 2015

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Paediatric Oncology Nursing Care in low- and middle-income countries: a need for baseline standards

Day S., Challinor J., Hollis R., et al. (2015) CC

This article looks at the Baseline Standards developed by the International Society for Paediatric Oncology (SIOP) for paediatric oncology nursing care in low- and middle-income countries. The Baseline Standards lay the foundation for effective care and address barriers such as inadequate staffin... more

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Ghana’s National Health insurance scheme and maternal and child health: a mixed methods study

Kavita Singh, Isaac Osei-Akoto, Frank Otchere et al. BMC Health Services Research (2015) C1

Ghana is attracting global attention for efforts to provide health insurance to all citizens through the National Health Insurance Scheme (NHIS). With the program’s strong emphasis on maternal and child health, an expectation of the program is that members will have increased use of relevant servi... more

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Liberia: a country – and its capital – are overwhelmed with Ebola cases

World Health Organization (WHO) (2015) C_WHO

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Structural violence: Understanding mother & child health and Ebola in Sierra Leone

Schwienhorst, E.M.; K. Boegel Medical Peace Work (2015) C1

This is one of seven Medical Peace Work courses.

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Responses of the Catholic Church to HIV and AIDS in Africa: Lessons learned. Summary

Fleischer, K. et al. German Bishops' Conference Research Group on International Church Affairs (2015) CC

An international field study by African and German Theologicans and health workers

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Comprehensive HIV prevention, treatment, care and support

Nina Urwantzoff, Ellen Schmitt, Piet Reijer Misereor (2014) C1

Good practice examples from India

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Assessment of Mental Health and Psychosocial Support (MHPSS) Needs and Resources in the Context of Ebola

International Medical Corps (2014) C2

Lunsar, Port Loko District, Sierra Leone

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WHO recommendations on postnatal care of the mother and newborn

World Health Organization (2013) CC

The guidelines address timing, number and place of postnatal contacts, and content of postnatal care for all mothers and babies during the six weeks after birth. The primary audience for these guidelines is health professionals who are responsible for providing postnatal care to women and newborns, ... more

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Treating Buruli Ulcer: A Review of Prospects for Existing Antibiotics and New Therapeutics

Access Campaign, Médecins sans Frontières (2013)

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Strengthening Pre-Service Education for the Nursing and Midwifery Cadre in India

Maternal Health Division Ministry of Health and Family Welfare Government of India (2012) C1

Operational Guidelines