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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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Integrating palliative care and symptom relief into primary health care : WHO guide for planners, implementers and managers

World Health Organization WHO (2018) C_WHO

Inequality of access to palliative care and symptom relief is one of the greatest disparities in global health care (1). Currently, there is avoidable suffering on a massive scale due to lack of access to palliative care and symptom relief in low- and middle-income countries (LMICs) (1). Yet basic p... more

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Standards for Paediatric Emergency Care

Cheema B., A. Westwood (2018) C1

Expert Consensus Report for Emergency Centres in Western Cape

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Yemen Emergency Livelihoods Response Plan: Support to agriculture-based livelihoods in Yemen, 2018

Food and Agriculture Organization of the United Nations (2018) C1

This plan guides FAO’s response to prevent the levels of food insecurity and malnutrition from worsening. It sets out key emergency agricultural livelihood interventions to be implemented within the framework of the 2018 Yemen Humanitarian Response Plan (HRP)

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Сборник примеров передовой практики здравоохранения в сфере противодействия ВИЧ-инфекции в Европейском регионе ВОЗ

Д-р M. Dara; Г-н Z. T. Gavry; Г-жа M. Mansfeld Всемирная организация здравоохранения (Европейское) (2018) C_WHO

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Professional Standards for Protection Work
recommended

International Committee of the Red Cross ICRC (2018) C1

Carried out by humanitarian and human rights actors in armed conflict and other situations of violence This guideline (third edition) constitutes a set of minimum but essential standards aimed at ensuring that protection work is safe and effective. The standards reflect shared thinking and common ... more

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Professional Standards for Protection Work (Abridged Version)

International Committee of the Red Cross ICRC (2018) C1

This guidelines is aimed at humanitarian and human rights actors engaged in protection work, and is intended to act as an easy reference to the minimum standards to be met and the recommended guidelines to be followed in such work. The 45 standards and 15 guidelines are reproduced in full, together... more

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Faecal Sludge And Septage Treatment. A guide for low and middle income countries.

Tayler, K. Practical Action Publishing (2018) CC

It explains the importance of faecal sludge management in urban areas in which many people rely on on-site and decentralized sanitation facilities and emphasizes the place of treatment in the overall sanitation service chain. It defines terms used throughout the book, explains why faecal sludge and ... more

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Innovations for Urban Sanitation

Myers, J.; D.Cavil, S. Musyoki, et al. Practical Action Publishing (2018) CC

Adapting community-led approaches . Three out of 10 people in urban areas do not use improved sanitation facilities, and one out of 10 people are forced to practise open defecation. Still higher proportions do not have access to safely managed sanitation facilities, where the fecal sludge is contai... more

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Atlas of African Health Statistics 2018

World Health Organization ( WHO Regional Office for Africa) (2018) C_WHO

Universal health coverage and the Sustainable Development Goals in the WHO African Region

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Breathe - Let’s end TB and AIDS by 2030

UNAIDS (2018) C1

“It has never been more urgent for us to come together to end HIV and tuberculosis. We achieve the most when we work together, using all of our strengths, harnessing all of our collective potential to end HIV and tuberculosis for a healthier world as part of the Sustainable Development Goals.” �... more

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Global Progress Report on Implementation of the WHO Framework Convention on Tobacco Control 2018

WHO Framework Convention on Tobacco Control (2018) C_WHO

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Kasai: A Children’s Crisis – Coping with the impact of conflict in the Democratic Republic of the Congo

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

UNICEF CHILD ALERT May 2018
As part of a UNICEF series highlighting the challenges faced by children in current crisis situations, this Child Alert examines the situation of children affected by violent conflict in Kasai region, Democratic Republic of the Congo. The alert outlines what UNICEF a... more

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Tracking aid for the WHA nutrition targets: Global spending in 2015 and a roadmap to better data

Alimonte, Mary D'; Thacher, Emily; LeMier, Ryan; Clift, Jack Results for Development (R4D) (2018) C1

In 2017, the World Bank and partners created the Global Investment Framework for Nutrition as a roadmap towards achieving the World Health Assembly (WHA) nutrition targets by 2025. The framework estimates that the world needs to mobilize an annual additional investment of $7 billion per year to scal... more

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Digital Accessibility Toolkit

Christoffel Blinden Mission (CBM) (2018)

CBM’s approach is based on the principles of the UN Convention on the Rights of Persons with Disabilities (CRPD) and on CBM’s responsibility to promote accessibility and the principles of universal design in all spheres of its work, including CBM’s digital content and communications. With this... more

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World Breastfeeding Week [1-7 Aug 2018]

Breastfeeding Foundation of Life (2018) C1

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Support to Bangladesh Host Communities and Institutions in the Joint Response Plan for the Rohingya Humanitarian Crisis

Inter Sector Coordination Group (ISCG) (2018) C1

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Defining competent maternal and newborn health professionals

World Health Organization WHO; UNFPA; UNICEF; et al. (2018) C_WHO

Background document to the 2018 joint statement by WHO, UNFPA, UNICEF, ICM, ICN, FIGO and IPA: definition of skilled health personnel providing care during childbirth

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Central African Republic (CAR): COI Compilation

Austrian Red Cross UNHCR, et al. (2018) CC

This report serves the specific purpose of collating legally relevant information on conditions in countries of origin pertinent to the assessment of claims for asylum. It is not intended to be a general report on human rights conditions. The report is prepared within a specified time frame on the b... more

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WHO recommendation on duration of bladder catheterization after surgical repair of simple obstetric urinary fistula

World Health Organization WHO (2018) C_WHO

WHO has issued a new recommendation on the length of bladder catheterization following surgical repair of a simple obstetric urinary fistula. Currently the length of catheterization is not standard and ranges from 5 to 42 days. The new guidance recommends a 7–10 day period of bladder catheterizati... more

Professional Standards for Protection Work recommended

Professional Standards for Protection Work
recommended