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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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Burden of Severe Fungal Infections in Burkina Faso

Bamba S. , Zida A., Sangaré I. et al. Journal of Fungi (2018) CC

Because of the limited access to more powerful diagnostic tools, there is a paucity of data regarding the burden of fungal infections in Burkina Faso. The aim of this study was to estimate the incidence and prevalence of serious fungal infections in this sub-Saharan country. We primarily used the na... more

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“They Stay until They Die” A Lifetime of Isolation and Neglect in Institutions for People with Disabilities in Brazil

Human Rights Watch (2018) C1

This report found that many people with disabilities enter institutions as children and remain there for their entire lives. Most of these institutions visited by Human Rights Watch researchers did not provide for more than people’s basic needs, such as food and hygiene, with scarce contact with t... more

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“Bangladesh Is Not My Country”. The Plight of Rohingya Refugees from Myanmar

Human Rights Watch (2018) C1

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Spatial distribution and determinants of asymptomatic malaria risk among children under 5 years in 24 districts in Burkina Faso

Ouédraogo M., Samadoulougou S., Rouamba T. et. al. Malaria Journal (2018) C2

Malaria Journal (2018) 17:460 https://doi.org/10.1186/s12936-018-2606-9 In malaria endemic countries, asymptomatic cases constitute an important reservoir of infections sustaining transmission. Estimating the burden of the asymptomatic population and identifying areas with elevated risk is import... more

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Bulletin d’épidémiologie et d’information sanitaire - Burkina Faso

Dr. Ouangare A., Ouedraogo S., Da D. et al. Ministère de la Santé, Burkina Faso (2018) C2

Disposer d’une information sanitaire de qualité est une quête permanente de la DGESS du Ministère de la santé. Le niveau de qualité des données de routine du système national d’information sanitaire bien qu’en amélioration ces dernières années demeure une priorité. Une des cause... more

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Monsoon Emergency Response Update - Rohingya Refugee Crisis, Cox's Bazar, Bangladesh (8- 14 August 2018)

Inter Sector Coordination Group (ISCG) (2018) C1

During the reporting period no significant rainfall was recorded in Cox’s Bazar: this past week brought 29 mm of rain in comparison to 115.25 mm for the previous week. As expected, far fewer weather hazard incidents were recorded in the Rohingya camps: 69 individuals (16 HH) were affected by lands... more

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Bangladesh: Country Factsheet HIV/AIDS 2017

UNAIDS (2018) CC

Accessed August 2018

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Gender in Humanitarian Action Brief No. 5. Rohingya Refugee Crisis Response - Cox’s Bazar, Bangladesh (July 2018)

Inter Sector Coordination Group (ISCG) (2018) C1

UNHCR and its partners implement interventions focusing on adolescent girls and boys, including:
▪ Formation and capacity building of adolescent girls and boys’ clubs as peer groups for awareness raising, and SGBV prevention and response mechanisms.
▪ Community based protection activ... more

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HEARTS Paquete técnico para el manejo de las enfermedades cardiovasculares en la atención primaria de salud. Acceso a medicamentos y tecnologías esenciales

Pan American Health Organization (PAHO) (2018) C_WHO

Los módulos que conforman el paquete técnico HEARTS están dirigidos a los formuladores de políticas públicas y gerentes, directores o coordinadores de programas a diferentes niveles dentro de los ministerios de salud cuyo trabajo influye sobre la prestación de servicios de salud a nivel prima... more

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HEARTS Paquete técnico para el manejo de las enfermedades cardiovasculares en la atencion primaria de salud. Evidencia: Protocolos de tratamiento clinico basados en la evidencia

Pan American Health Organization (PAHO) (2018) C_WHO

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HEARTS Paquete técnico para el manejo de las enfermedades cardiovasculares en la atención primaria de salud. Hábitos y estilos de vida saludables: asesoramiento para los pacientes

Pan American Health Organization (PAHO) (2018) C_WHO

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Myanmar Humanitarian News Digest July 2018

UN Office for the Coordination of Humanitarian Affairs (OCHA) (2018) C1

The Humanitarian News Digest is a monthly compilation of links to reports, web stories, press releases, and other public products published online by organizations with humanitarian operations in Myanmar.

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Case Studies: CDI2WASH Program

Bangladesh Red Crescent Society (BDRCS), Community Development Department (2018) C1

The “Case Study: CDI2WASH Program” depicts the benefits and lessons learnt by the beneficiaries and change agents in CDI2WASH program during the last 4 years. The document has contained the success of the project and accumulated learning have been documented in the publication. It upholds the ac... more

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Rohingya Refugee Response Gender Analysis: Recognizing and responding to gender inequalities

Toma, Iulia; Chowdhury, Mita; Laiju, Mushfika; Gora, Nina; Padamada, Nicola Oxfam, Action Against Hunger, Save the Children (2018) C1

This gender analysis was conducted to understand the different risks and vulnerabilities but also opportunities and skills for Rohingya and host community women, men, boys and girls. Data collection was conducted over three weeks from 8 April to 29 April 2018. The work aimed to identify the differen... more

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Atlas de salud mental de las Américas 2017

Pan American Health Organization (PAHO) (2018) C_WHO

Los datos incluidos en este informe demuestran que en la Región de las Américas existe un desarrollo progresivo en relación con las políticas, leyes, programas y servicios de salud mental. Sin embargo, se necesitan aun grandes esfuerzos, compromisos y recursos para alcanzar los objetivos regiona... more

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HEARTS Paquete técnico para el manejo de las enfermedades cardiovasculares en la atención primaria de salud. Trabajo basado en equipos multidisciplinarios

Pan American Health Organization (PAHO) (2018) C_WHO

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Informe sobre el control del tabaco en la Región de las Américas, 2018

Pan American Health Organization (PAHO) (2018) C_WHO

Also available in English. Esta nueva edición del Informe sobre control del tabaco en la Región de las Américas presenta la situación actual y las tendencias de la epidemia del tabaquismo en la Región de las Américas, así como de la aplicación de seis medidas efectivas para combatirla conoc... more

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Calificación de las políticas en materia de alcohol. Evaluación del nivel de ejecución de la Estrategia Mundial de la OMS para reducir el uso nocivo del alcohol en la Región de las Américas

Pan American Health Organization (PAHO) (2018) C_WHO

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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