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Toolboxes
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3
In 1989, the Republic of Benin was facing a great social and
economical crisis. Civil servants of all the sectors in public
administration were on strike. People did not know where to
go for their health care. Salaries were not paid for more than
six months and life for the general
...
population was very dificult.
The country was about to degenerate into civil war as a
result of the civil unrest in the country.
Thanks to the assistance from the French, and Canadian
and American Mennonite missionaries, the Bethesda Health
Centre was started in 1990 with US$ 1,000 granted by theses
partners. Today, the Health Centre of Bethesda has expanded
and has become a large Hospital in Cotonou. It hosts each
year about 100,000 patients and has developed the department
of paediatrics, ophthalmology, stomatology, cardiology,
obstetrical gynaecology, X-rays, etc. The Hospital has also
put in place an AIDS service which has been promoted by the
government to the status of an AIDS Treatment Centre.
In an integrated vision, Bethesda has established other departments.
In 1993, the Sanitation department was established
to implement sanitation and environmentally-friendly
projects aimed at reducing the high incidence of some diseases
frequently treated at the hospital. In 1996, the decision
was made to establish a micro-inance department called
PEBCo. This initiative, which currently has 10,000 clients,
uses community savings to promote income-generating activities.
Since many women were obliged to use the loans for
family needs (health care, children schooling, etc.), they were
unable to reimburse them as planned. Hence the Bethesda
non-government organization (NGO) recently began an initiative
to provide a community-based health insurance option
for the population in 2006. There are now 12,000 members.
This paper focuses on the presentation of Benin and the program,
but also describes how the project could be better improved
and what were its beneits and impacts.
Field Actions Science Reports
The journal of field actions
Vol. 4 | 2010
Vol. 4
more
Ce rapport présente les résultats clés de la quatrième Enquête Démographique et de Santé du Bénin (EDSB-IV), qui a été réalisée de décembre 2011 à mars 2012 par l’Institut National de la Statistique et de l’Analyse Économique (INSAE) sous la tutelle du Ministère du Développement
...
, de l’Analyse Économique et de la Prospective, en collaboration avec les services techniques du ministère de la Santé, le Programme National de Lutte contre le Sida (PNLS), le Laboratoire de Parasitologie du Centre National Hospitalier et Universitaire Hubert Maga (CNHU) et le Laboratoire de référence du Programme National de Lutte contre le Sida et les IST (PNLS). L’EDSB-IV a été financée par le Gouvernement du Bénin, l’Agence des États-Unis pour le Développement International (USAID), le Fonds Mondial, le Fonds des Nations Unies pour l’Enfance (UNICEF), le Fonds des Nations Unies pour la Population (UNFPA) et le Programme Multisectoriel de Lutte contre le Sida (PMLS) par le biais d’un financement de la Banque Mondiale.
more
The report is geared towards mayors, local government officials and city policy planners.It highlights key areas where city leaders can tackle the drivers of NCDs, including tobacco use, air pollution, poor diets and lack of exercise, and improve road safety.
From anti-tobacco actions in Beijing a
...
nd Bogor, to road safety initiatives in Accra and Bangkok, a bike sharing scheme in Fortaleza, and actions to create walkable streets for seniors that have reduced elderly pedestrian deaths by 16% in New York City, the report aims to share knowledge between urban policy planners.
Of the 19 case studies cited, 15 are from developing countries, where 85% of premature adult deaths through NCDs take place, and over 90% of road traffic fatalities are recorded. You can download the case studieson the website https://www.who.int/ncds/publications/tackling-ncds-in-cities/en/.
Over 90% of future urban population growth will be in low or middle-income countries, and seven of the world’s 10 largest cities are in developing countries.
more
Il n’est de richesse que d’hommes dit-on. En vertu de ce principe, le Gouvernement de
la République du Bénin, désireux de connaître et d’apprécier l’importance et la qualité de ses
ressources humaines a décidé, par décret n° 99-459 du 22 septembre 1999, d’organiser sur
toute l
...
’étendue du territoire national, un Recensement Général de la Population et de
l’Habitation. Cette importante opération est la troisième du genre depuis notre indépendance
nationale.
more
La présente étude a permis, non seulement de mieux connaître les différents acteurs
de la ville de Cotonou sur la thématique du handicap, mais également de mettre en lumière
les actions qu’ils mènent. La problématique du handicap est mal connue dans la ville de
Cotonou : pas de statist
...
iques fiables (le dernier recensement national fait état de 2,55% de
personnes handicapées au sein la population nationale). Cependant, plus de 180
associations de personnes handicapées sont recensées sur le territoire national. Et bien que
le bénin soit signataire de nombreuses conventions et accords internationaux sur la
protection et la promotion des droits des personnes handicapées, il n’existe pas de
législation nationale spécifique, relative aux personnes handicapées. Il y a (trop !) peu de
campagnes officielles de sensibilisation sur les causes et la prévention du handicap, et les
commémorations conventionnelles passent souvent inaperçues. L’étude a permis de jeter
un regard sur les relations qu’ entretiennent les acteurs publics et associatifs entre eux.
more
La présente étude a permis, non seulement de mieux connaître les différents acteurs
de la ville de Cotonou sur la thématique du handicap, mais également de mettre en lumière
les actions qu’ils mènent. La problématique du handicap est mal connue dans la ville de
Cotonou : pas de statist
...
iques fiables (le dernier recensement national fait état de 2,55% de
personnes handicapées au sein la population nationale). Cependant, plus de 180
associations de personnes handicapées sont recensées sur le territoire national. Et bien que
le bénin soit signataire de nombreuses conventions et accords internationaux sur la
protection et la promotion des droits des personnes handicapées, il n’existe pas de
législation nationale spécifique, relative aux personnes handicapées. Il y a (trop !) peu de
campagnes officielles de sensibilisation sur les causes et la prévention du handicap, et les
commémorations conventionnelles passent souvent inaperçues. L’étude a permis de jeter
un regard sur les relations qu’ entretiennent les acteurs publics et associatifs entre eux.
more
Ineffective Healthcare Technology Management in Benin’s Public Health Sector: The Perceptions of Key Actors and Their Ability to Address the Main Problems
P. Thierry Houngbo, Tjard De Cock Buning, Joske Bunders, Harry L. S. Coleman, Daton Medenou, Laurent Dakpanon†, Marjolein Zweekhorst
International Journal of Health Policy and Management IJHPM
(2017)
C2
Int J Health Policy Manag 2017, 6(10), 587–600
Low-income countries face many contextual challenges to manage healthcare technologies effectively, as the majority are imported and resources are constrained to a greater extent. Previous healthcare technology management (HTM) policies in Benin ha
...
ve failed to produce better quality of care for the population and cost-effectiveness for the government. This study aims to identify and assess the main problems facing HTM in Benin’s public health sector, as well as the ability of key actors within the sector to address these problems.
more
Gestion de la Pharmacie dans les Centres de Santé au niveau périphérique
Dr Habib Ganfon; Dr Giraud Ekanmian
Centre d’Information Pharmacothérapeutique du Bénin (CIP-BENIN)
(2017)
C2
Le paludisme, appelé également malaria, ou « Mal‘aria », ce qui signifie « mauvais air
», est une maladie qui menace 3 milliards de personnes dans 99 pays dans le monde.1
Les personnes les plus vulnérables sont les jeunes enfants et les femmes enceintes,
car c’est parmi cette
...
population que le risque de décès est le plus élevé.2
Au Bénin, le paludisme représente environ 41% des motifs de recours aux soins et
première cause de consultation, d’hospitalisation et de décès parmi la population en 2012
more
Manual for male circumcision under local anaesthesia and HIV prevention services for adolescent boys and men
recommended
This Manual takes into account those lessons to improve and maintain high quality services. It is aligned with updated recommendations on infection prevention and control -- a foundation for all health care services. Voluntary medical male circumcision for HIV prevention programs also afford a uniqu
...
e opportunity to reach Africa’s rapidly expanding population of adolescents boys, as well as men, with messages and services that may have life-long effect on their health and well-being.
more
Cet atlas présente des résultats régionaux de la cinquième phase de l’Enquête Continue (Enquête Continue 2017) qui a été exécutée d’avril à décembre 2017 par l’Agence Nationale de la Statistique et de la Démographie (ANSD), le Ministère de la Santé et de l’Action Sociale (MSAS
...
) et la Cellule de Lutte contre la Malnutrition. L’Enquête Continue 2017 a été réalisée avec l’appui financier du Gouvernement du Sénégal, de l’Agence des États-Unis pour le Développement International (USAID), de l’UNICEF (United Nations Children Fund), de l’UNFPA (United Nations Population Fund) de Nutrition International, et de la Banque Mondiale. Elle a bénéficié de l’assistance technique de The Demographic and Health Surveys Program (DHS Program) de ICF dont l’objectif est de collecter, d’analyser et de diffuser des données démographiques et de santé.
more
Enquête Continue Cinquième Phase 2017 - Rapport de synthèse Senegal
Agence Nationale de la Statistique et de la Démographie (ANSD)
Ministère de la Santé et de l’Action Sociale (MSAS)
(2018)
C2
Ce rapport présente les principaux résultats de la cinquième phase de l’Enquête Continue 2017, qui a été exécutée d’avril à décembre 2017 par l’Agence Nationale de la Statistique et de la Démographie (ANSD), le Ministère de la Santé et de l’Action Sociale (MSAS) et la Cellule de
...
Lutte contre la Malnutrition.
Le Sénégal est le premier pays en Afrique à réaliser une enquête continue par le biais de The Demographic and Health Surveys Program. L’Enquête Continue collecte des données chaque année pour atteindre deux objectifs :
•Répondre aux besoins permanents en données pour planifier, suivre et évaluer les programmes de santé et de population.
•Renforcer les capacités des institutions du Sénégal dans le domaine de la collecte et de l’utilisation des données.
more
Myanmar continues to present a complex and dynamic operating context where ongoing socio-economic and political challenges, including conflict, displacement, widespread poverty and food insecurity, hinder development efforts. An estimated 24.8 percent of its 54 million
...
population live near or below the poverty line. Many struggle with inadequate physical, social and economic access to sufficient, safe and nutritious food, with women, girls, persons with disabilities and minorities affected most.
more
Over the reporting period, economic actors continued to carry out their activities with little regard for their impacts on the livelihoods of the communities living in the surrounding areas. In Doo Tha Htoo (Thaton) District, cold dust from a Tatmadaw-run cement factory contaminated nearby waterways
...
during the rainy season. As a result, civilians from at least 15 villages faced water shortages. In Mu Traw (Hpapun) and Kler Lwee Htoo districts, gold mining activities damaged forests and polluted water and soils in several village tracts. In both cases, the economic actors involved failed to secure the free, prior and informed consent (FPIC) of the local population, and did not compensate the affected communities for the damage caused.
more
AMR is a serious and growing global problem. A WHO report released in 2014 stated that this serious threat is no longer a prediction for the future it is happening now in every region of the world and has potential to affect anyone, of any age in any community – a real threat to the public health.
...
The coming together of the various important stakeholders to develop this document is the testimony of their agreement of how serious is the issue at hand and their intentions to combat AMR is translated into an Action Plan. WHO also reported that there are about 2 million people in the US are infected with the AMR organism while 23,000 die annually from AMR infections. Fiji is just 10 hours journey away from the United States of America therefore Fiji must act now to keep our population safe from AMR organisms.
more
Antimicrobial resistance has become a serious public health threat for effective treatment of an ever increasing range of infections caused by bacteria, parasites, viruses and fungi. When infections can no longer be treated by first-line antibiotics, other antibiotics must be used, which are both mo
...
re expensive and more toxic. Treatment and hospitalization is prolonged, and patients undergoing operations and other medical procedures are more vulnerable to infections. All this imposes a huge burden on health care systems and on the economy of countries. This is a major challenge to the health system in Mauritius which provides health care free of user cost to the whole population.
more
With an FGM prevalence of 75.8% among women aged 15-491, Burkina Faso is classified by UNICEF2 as a ‘moderately high prevalence’ country.
FGM is practised across all regions, ethnic groups and religions in Burkina Faso. There are distinct regional variations; FGM prevalence ranges from 54.8%
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in the Centre-West to 89.5% in the Centre-East. Two-thirds of the population of Burkina Faso live in rural areas, and nearly 10% more women aged 15-49 have had FGM in rural areas (78.4%) than in urban areas (68.7%). Prevalence in the capital, Ouagadougou, is 64.8%.3
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MICROBIAL DRUG RESISTANCEVolume 24, Number 5, 2018ªMary Ann Liebert, Inc.DOI: 10.1089/mdr.2017.0383
Antibiotic resistance (ABR) is a worldwide publichealth concern, with serious health, economic, and so-cietal repercussions. Its emergence is attributed to the se-lective pressure exerted by antib
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iotic use in the community, hospitals, veterinary health, agriculture, aquaculture, and the environment. Additionally aggravating the situation is the fact that very few new antibiotics have recently been produced by pharmaceutical companies. It is widely acknowledged that food animals are key reservoirs of antibiotic-resistant bacteria and that antibiotic usage in this population favors the emergence, selection, and spread of resistance among animals and humans, both through zoonoses (infectious diseases trans-mitted between animals and humans) and the food chain.
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Stewardship is defined as “the careful and responsible management of something entrusted to one’s care”. It was originally applied in the health-care setting as a tool for optimizing antimicrobial use, termed “antimicrobial stewardship” (AMS). Stewardship has since be
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en applied in the context of governance of the health sector as a whole, taking responsibility for the health and well-being of the population and guiding health systems at the national and global level.
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Interim Guidcance March 2020
People affected by humanitarian crises, particularly those displaced and/or living in camps and camp-like settings, are often faced with specific challenges and vulnerabilities that must be taken into consideration when planning for readiness and response operations for
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the COVID-19 outbreak. They are frequently neglected, stigmatized, and may face difficulties in accessing health services that are otherwise available to the general population. In the context of this Interim Guidance, the people in humanitarian situations affected by this guidance may include internally displaced persons (IDPs), host communities, asylum seekers, refugees and returnees, and migrants when in similar situations. While further adaptations might be needed for some population groups, including those living in slums this interim guidance is issued to assist field staff to immediately respond to urgent needs.
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Burkina Faso has approximately 10.5 million inhabitants and is divided into 30 provinces. The study took place in the districts of Tougan, Nouna, and Solenzo, in provinces Sourou and Kossi, in north-west Burkina Faso. There is one medical centre in every district capital and 6 to 14 health centres i
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n the surrounding villages. Each health centre covers a population of 10 000 to 15 000. The staff of one health centre generally consists of one nurse, a nurse aid and a midwife as well as one drug vendor for the nearby village pharmacy. The health personnel are trained and paid by the state.
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