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1
COVID-19: Guidelines for case-finding, diagnosis, management and public health response in South Africa
recommended
Bham A., J. Bhiman, F. Bongweni et al.
Centre for Respiratory Diseases and Meningitis and Outbreak Response
(2020)
C2
The information contained in this document, be it guidelines, recommendations, diagnostic algorithms or treatment regimens, are offered in this document in the public interest. To the best of the knowledge of the guideline writing team, the information contained in these guidelines is correct. Imple
...
mentation of any aspect of these guidelines remains the responsibility of the implementing agency in so far as public health liability resides, or the responsibility of the individual clinician in the case of diagnosis or treatment.
more
In 2020, the COVID-19 pandemic impacted the world beyond imagination. To date, it has infected more than 135 million people, killed over 2.9 million people, and is projected to plunge up to 115 million people into extreme poverty.1 As countries have gone into lockdown, gender-based violence has incr
...
eased, unemployment has soared, and access to health care for the poorest and most vulnerable has been cut. COVID-19 has made people less likely to seek health care because they are afraid of getting infected with the virus. Fear and uncertainty surrounding COVID-19 have also increased stigma and discrimination. As frontline workers without enough access to personal protective equipment (PPE) risk their lives to treat patients, the virus pushes already fragile health systems to the brink.
more
This study emphasizes the contribution that women can play in the prevention of violent extremism within the family and society and analyzes the drivers and roles of women taking part in violent extremism and supporting violent and extremist groups.
UNDP Iraq is pleased to make this study and its r
...
ecommendations available to national and international partners and to all interested experts and researchers working in the field of preventing violent extremism to contribute to enriching the discussion and strengthening programmes to prevent violent extremism in the Arab region.
more
لى الرغم من أّن أفريقيا تحتضن ما يقارب خمس سكان العالم وتتحمل ربع العبء المرضي عالمًيا، فإن مساهمتها في الأبحاث
لا ةيملاعلا ةيحصلا زواجتت 3 طقف % . نمكي و دحأ زربأ ةي
...
صلا ثاحبلأا هجاوت يتلا تايدحتلا يف ةراقلا يف تايقلاخأ راطإ فعض
ثحبلا روصقو يف ةيلودلا ثحبلا تايقلاخأ ئدابم لا ريفوت ةيامح يلثملا لل يف ةقرافلأا نيكراشم ةيثحبلا تاساردلا . زيمتت
بوعشلا ةيقيرفلأا ب دقتعم تاموظنمو ميقو تافاقث ية لئاضفو ةديرف ، يعدتسي امب لاا و فاشكتس لا مهف قمعب قايس يف
ريت في بيئة أفريقية بأن ضرمل ةيبلس تاصيخشتب ىضرملا غلابإ ُج أ ،لاثملا ليبس ىلع .ثحبلا تايقلاخأ جئاتن ترهظ دراسٌة أ
ءانثأناطرسلا دق ةرينتسملا ةقفاوملا ةيلمع يلعرثؤت .ىضرملل ةياعرلاو جلاعلا جئاتن بلا يف ،ةيقيرفلأا تائي فلاخب لودلا
،ةمدقتملا ُيمنح اهتمام أكبر لا عمتجملا ةيللاقتس باسح يلع .درفلا ةيللاقتسا كلذ يلع ةولاع فف ةيقيرفلأا تاعمتجملا ي
دق ،ظوحلم لكشب ةيحصلا ةفاقثلا تايوتسم اهيف ضفخنت يتلا دحي مهف ةعيبط ةقفاوملا ةرتف للاخ ضارملأاو ثاحبلأا
ةرينتسملا نم ةرينتسم تارارق ذاختا ىلع ةردقلا ةيفاك ةفرعم ىلع ةينبمو ةيعاو . ةيداصتقلااو ةيعامتجلاا عاضولأا يندت نأ ام
فلأا ناكسلل يف نيكراشملا ةقرا طاخملل ةضرع رثكأ مهلعجي دق تاساردلا ، إذ قد تؤثر الحوافز الُمقّدمة عليهم في قرارات مه
ب .اهيف ةكراشم
more
Seulement 3 % de la recherche mondiale en santé provient d’Afrique, malgré sa part de 18 % de la population
mondiale et de 25 % de la charge de morbidité. L’un des défis auxquels est confrontée cette recherche limitée en
matière de santé sur le continent provient du cadre défaillant d
...
e l’éthique de la recherche et de l’incapacité des
principes internationaux d’éthique de la recherche à protéger de manière optimale les participants africains à la
recherche. Les populations africaines possèdent des cultures, des valeurs, des systèmes de croyances et des
vertus spécifiques qu'il convient d'explorer et de comprendre pour mener la recherche de manière éthiques. Par
exemple, une étude menée en Afrique a révélé que l'information sur les diagnostics, notamment ceux de cancer,
lors du consentement éclairé a été jugée défavorable, ce qui peut altérer le traitement et les résultats des soins
prodigués aux patients. En Afrique, contrairement aux pays développés, l'accent est davantage mis sur
l'autonomie communautaire que sur l'autonomie individuelle. Le niveau d’alphabétisation en santé des populations
africaines est faible par rapport à celui des pays développés, ce qui affecte leur compréhension du consentement
éclairé et compromet leur capacité à prendre des décisions éclairées. Le statut socio-économique inférieur des
populations africaines pourrait également rendre les participants à l'étude vulnérables, car les incitations offertes
pourraient influencer leur décision de participer à l'étude.
more
Apenas 3% da investigação global em saúde provém de África, apesar da sua quota de 18% da
população mundial e de 25% da carga de doença. Um desafio para esta investigação limitada
em saúde no continente decorre do deficiente quadro de ética de investigação e da falha dos
princípios
...
internacionais de ética na investigação em proteger de forma óptima os participantes
africanos da investigação. As populações africanas possuem culturas, valores, sistemas de
crenças e virtudes peculiares que necessitam de ser explorados e compreendidos no processo
de conduta ética na investigação. Por exemplo, um estudo realizado num contexto africano
reportou que a informação sobre os diagnósticos de cancro como desfavorável durante o
processo de consentimento informado poderia alterar o tratamento e o resultado dos cuidados
aos doentes. Nos contextos africanos, ao contrário dos países desenvolvidos, a ênfase é
colocada na autonomia comunitária em detrimento da autonomia individual. Nas populações
africanas onde os níveis de literacia em saúde são comparativamente baixos, a compreensão da
investigação e da doença durante o consentimento informado pode comprometer a capacidade
de tomar decisões informadas. Além disso, o menor estatuto socioeconómico das populações
africanas pode tornar os participantes do estudo vulneráveis, dado que os incentivos oferecidos
podem afectar as suas decisões de participar no estudo.
more
Практический подход к разработке политики и стратегии в целях повышения качества медицинской помощи
This report offers a summary of the provided support and recommendations on priority activities for IPC improvement at national and facility levels. The COVID-19 pandemic spotlighted areas for improvement in the IPC programme at national and facility levels. Improvements in the IPC programme were ac
...
hieved during the acute phase of the pandemic response. WHO will continue to support the Ministry Health of Ukraine and the Public Health Centre, as well as health facility managers and health-care providers, on the next steps to ensure the sustainability of progress achieved and to further enhance IPC in health-care settings.
more
In fragile, conflict-affected and vulnerable settings, delivery of quality health services faces significant challenges, including disruption of a routine health service organization and delivery sy
...
stems, increased health needs, complex and unpredictable resourcing issues, and vulnerability to multiple public health crises. Despite the difficulty of addressing quality in such settings, the necessity for action is acute, given the significant health needs of the populations in these environments and the increasing numbers of people for whom such settings are home.
This manual has been developed to provide a starting point for multi-actor efforts and actions to address quality of care in the most challenging settings. This includes practical approaches to action planning and implementation of a contextualised set of quality interventions.
more
This report reviews the current situation in relation to national capacity to address NCDs and the progress made at country level over the past decade. It highlights that, while progress is being made, there is still much work to be done to create the infrastructure, policies, surveillance and
...
health systems response that will allow NCDs and their contributing risk factors to be successfully contained and reversed.
more
Quick guide to video-supported treatment of tuberculosis (2020).
Despite being a curable and preventable disease, tuberculosis (TB) remains as one of the major challenges for health systems, globally. Every year, TB affects more than 10 million pe
...
ople and kills more than 1.4 million people. WHO’s Digital Health for the End TB Strategy – an Agenda for Action outlines a conceptual framework in which advantageously positioned digital health solutions are matched to the most urgent needs of TB programmes. Video-supported treatment is a component of one of the four core functions of this framework, the Patient Care domain, and primarily supports the first pillar of the End TB Strategy. This quick guide provides information on the solutions available for asynchronous modes of video communication and how these can be of use to TB programmes.
more
Background: Cardiovascular disease (CVD), mainly heart attack and stroke, is the
leading cause of premature mortality in low and middle income countries (LMICs).
Identifying and managing individuals at high risk of CVD is an important strategy to prevent and control CVD, in addition to multisector
...
al population-based interventions to reduce CVD risk factors in the entire population.
Methods: We describe key public health considerations in identifying and managing individuals at high risk of CVD in LMICs.
Results: A main objective of any strategy to identify individuals at high CVD risk is to maximize the number of CVD events averted while minimizing the numbers of
individuals needing treatment. Scores estimating the total risk of CVD (e.g. ten-year risk of fatal and non-fatal CVD) are available for LMICs, and are based on the main CVD risk factors (history of CVD, age, sex, tobacco use, blood pressure, blood cholesterol and diabetes status). Opportunistic screening of CVD risk factors enables identification of persons with high CVD risk, but this strategy can be widely applied in low resource settings only if cost effective interventions are used (e.g. the WHO Package of Essential NCD interventions for primary health care in low resource settings package) and if treatment (generally for years) can be sustained, including continued availability ofaffordable medications and funding mechanisms that allow people to purchase medications without impoverishing them (e.g. universal access to health care). Thisalso emphasises the need to re-orient health systems in LMICs towards chronic diseases management.
Conclusion: The large burden of CVD in LMICs and the fact that persons with high
CVD can be identified and managed along cost-effective interventions mean that
health systems need to be structured in a way that encourages patient registration, opportunistic screening of CVD risk factors, efficient procedures for the management of chronic conditions (e.g. task sharing) and provision of affordable treatment for those with high CVD risk. The focus needs to be in primary care because that is where most of the population can access health care and because CVD programmes can be run effectively at this level.
more
Climate Change 2021: The Physical Science Basis. Contribution of Working Group I to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change
Promoting and protecting health is essential to human welfare and sustained economic and social development. This was recognized more than 30 years ago by the Alma-Ata Declaration signatories, who noted that
...
Health for All would contribute
both to a better quality of life and also to global peace and security
more
WHO Regional EVD Preparedness Meeting Presentations January 14-16, 2015
