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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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Planetary health in practice: sensing air pollution and transforming urban environments

Gabrys, J. (2020) C1

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Long-Run Impacts of the Conflict in Ukraine on Food Security in Africa

Balma, L.; et al. (2022) CC

Kiel Policy Brief, Ukraine Special 1, March 2022.Many African countries heavily rely on imports of agricultural commodities and agricultural inputs from Ukraine and Russia, for example wheat, other grains, and fertilizer. Russia’s invasion of Ukraine has disrupted global access to grains due to re... more

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MSF Clinical Guidelines. Diagnosis and Treatment Manual
recommended

Médecins sans Frontières (MSF) (2022) C2

This diagnostic and treatment manual is designed for use by medical professionals involved in curative care at the dispensary and hospital levels. We have tried to respond in the simplest and most practical way possible to the questions and problems faced by field medical staff, using the accumulate... more

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Cognitive profiles of Post-traumatic Stress Disorder and depression in children and adolescents

Barrera-Valenciaa, M., Calderón-Delgado, L., Trejos-Castillo, E. & O’Boyle, M. International Journal of Clinical and Health Psychology (2017) CC

Several diagnostic criteria of Post-traumatic Stress Disorder (PTSD) are remarkably similar to symptoms reported by individuals with depression, particularly as they manifest as cognitive processing deficits in children. Because of this overlap in profile and the high rate of comorbidity of PTSD and... more

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Gesundheitskompetenz von Menschen mit Migrationshintergrund in Deutschland

E.-M. Berens, Klinger, J.; Mensing, M.; et al. IZGA (2022) CC

Die vorliegende Studie HLS-MIG liefert erstmals für Deutschland detaillierte Daten zur Gesundheitskompetenz von Menschen mit Migrationshintergrund. Sie konzentriert sich auf die beiden großen Einwanderungsgruppen: Menschen mit ex-sowjetischem und türkischem Migrationshintergrund. Die Studie schli... more

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Ethiopia Country Refugee Response Plan - The integrated response plan for refugees from Eritrea, Sudan, South Sudan and Somalia 2020

UN High Commissioner for Refugees UNHCR (2020) C1

Refugee protection in the country is provided within the framework of these international and national refugee laws as well as the core international human rights treaties that have been ratified by the country. Continued insecurity within neighbouring states has resulted in sustained refugee moveme... more

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Disability Within the African Culture

Eskay M., Onu V. C., Igbo J. N., Obiyo N., Ugwuanyi L US-China Education Review (2012) CC

special education, culture, psychology, education, policy

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Guia consolidada sobresaúde sexual e reprodutiva e direitos das mulheres que vivem com HIV

Organização Mundial de Saúde (2017) C_WHO

Estima-se que 17,8 milhões de mulheres em todo o mundo com 18 anos ou mais viviam com o VIH em 2015, o equivalente a 51% dos adultos que viviam com o VIH. As raparigas adolescentes e as mulheres jovens são particularmente afectadas; em 2015 representavam 60 por cento dos indivíduos com idades com... more

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Ethiopia Country Refugee Response Plan: The integrated response plan for refugees from Eritrea, Sudan, South Sudan and Somalia (January 2019 - December 2020)

UN High Commissioner for Refugees UNHCR (2019) C1

he refugee flow to Ethiopia continued during 2018, with 36,1351 persons seeking safety and protection within the country’s borders. At the start of 2019, the nation hosted 905,8312 thousand refugees who were forced to flee their homes as a result of insecurity, political instability, military cons... more

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Care of girls and women living with female genital mutilation

World Health Organization WHO (2018) C_WHO

This handbook is for health care providers involved in the care of girls and women who have been subjected to any form of female genital mutilation (FGM). This includes obstetricians and gynaecologists, surgeons, general medical practitioners, midwives, nurses and other country-specific health profe... more

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Ghana National Action Plan on Antimicrobial Resistance 2017-2021
recommended

Ministry of Health, Ministry of Food and Agriculture, et al. (2018) C2

The National Action Plan (NAP) has been developed based on the model recommended in the global Action Plan. Local data on on-going interventions were collected from technical informants in the various areas of work. These were analysed using the policy framework provided by the AMR policy document. ... more

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Kenya Climate Smart Agriculture Strategy-2017-2026

Ministry of Agriculture, Livestock and Fisheries (2017) CC

Climate Smart Agriculture provides an excellent opportunity for the transformation by uniting agriculture, development and climate change under a common agenda through integrating the three dimensions of sustainable development (economic, social and environmental) by jointly addressing food security... more

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Advancing gender equality and climate action: A practical guide to setting targets and monitoring progress

Climate & Development Knowledge Network (2022) C1

Women have less access to the development services and support – such as adequate healthcare, education and modern technology – that make people more resilient to climate change and other shocks and stressors.2 Women’s unequal access to resources, their disproportionate responsibility for ca... more

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RELATÓRIO MUNDIAL SOBRE A DEFICIÊNCIA

World Health Organization (WHO) and The World Bank (WB) (2011) C_WHO

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Low-Threshold Psychosocial Support for Refugees and Asylum Seekers. A Project Guide
recommended

Zellmann, H. Médecins Sans Frontières (2018) C1

This guide is strongly practice -oriented and intended as an open resource when replicating similar methods of psychosocial care in other projects. It describes the steps in the development of our pilot project "Low threshold psychosocial support for refugees and asylum seekers’ in... more

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Bangladesh: Humanitarian Response Plan - September 2017 / February 2018 - Rohingya Refugee Crisis

International Organization for Migration, Inter Sector Coordination Group (2017) C1

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WHO's Health Emergency Appeal 2024

World Health Organization WHO (2024) C_WHO

In 2024, we need US$1.5 billion to provide live-saving health care to millions of people in emergencies. An alarming combination of conflict, climate-related threats and increasing economic hardship mean an estimated 166 million people require health assistance.