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Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Minja, N.W.; Nakagaayi, D.; Aliku, T. et al. Frontiers in Cardiovascular Medicine (2022) CC

In 2015, the United Nations set important targets to reduce premature cardiovascular disease (CVD) deaths by 33% by 2030. Africa disproportionately bears the brunt of CVD burden and has one of the highest risks of dying from non-communicable diseases (NCDs) worldwide. There is currently an epide...miological transition on the continent, where NCDs is projected to outpace communicable diseases within the current decade. Unchecked increases in CVD risk factors have contributed to the growing burden of three major CVDs—hypertension, cardiomyopathies, and atherosclerotic diseasesleading to devastating rates of stroke and heart failure. The highest age standardized disability-adjusted life years (DALYs) due to hypertensive heart disease (HHD) were recorded in Africa. The contributory causes of heart failure are changing—whilst HHD and cardiomyopathies still dominate, ischemic heart disease is rapidly becoming a significant contributor, whilst rheumatic heart disease (RHD) has shown a gradual decline. In a continent where health systems are traditionally geared toward addressing communicable diseases, several gaps exist to adequately meet the growing demand imposed by CVDs. Among these, high-quality research to inform interventions, underfunded health systems with high out-of-pocket costs, limited accessibility and affordability of essential medicines, CVD preventive services, and skill shortages. Overall, the African continent progress toward a third reduction in premature mortality come 2030 is lagging behind. More can be done in the arena of effective policy implementation for risk factor reduction and CVD prevention, increasing health financing and focusing on strengthening primary health care services for prevention and treatment of CVDs, whilst ensuring availability and affordability of quality medicines. Further, investing in systematic country data collection and research outputs will improve the accuracy of the burden of disease data and inform policy adoption on interventions. This review summarizes the current CVD burden, important gaps in cardiovascular medicine in Africa, and further highlights priority areas where efforts could be intensified in the next decade with potential to improve the current rate of progress toward achieving a 33% reduction in CVD mortality. more

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Network HPN Paper: The role of education in protecting children in conflict

Susan Nicolai and Carl Triplehorn Humanitarian Practice Network (HPN); Overseas Development Institute (ODI) (2003) C1

Education in emergencies is a young area; the evidence of its impact is often anecdotal, and although its status as a humanitarian concern has gained legitimacy in recent years, it has yet to be accepted across the humanitarian community. Much more needs to be done to enhance our understanding of t... more

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Relief, Recovery and Resilient Reconstruction: Supporting Ukraine's Immediate and Medium-Term Economic Needs

World Bank Group Staff (2022) C1

As a result of Russia’s invasion of Ukraine, the people of Ukraine, especially the most vulnerable, are paying an enormous price. Lives and livelihoods are being lost, with more than ten million people forced from their homes— and their country—in search of safety. The war has unleashed catast... more

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Namibia: Disability Etiquette / Courtesies

Ministry of Health and Social Services (MOHSS) (2010)

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mhGAP operations manual

World Health Organization WHO (2018)

mhGAP is based on evidence-based technical guidelines (4) and provides a set of tools and training packages to extend service provision. The mhGAP Intervention Guide (mhGAP-IG) for MNS disorders in non-specialized health settings (8) is a clinical decision-making tool for assessing and managing p... more

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Climate Solutions Double as Health Interventions

Mailloux, N.A. et al. (2021) CC

Int. J. Environ. Res. Public Health 2021, 18(24), 13339; https://doi.org/10.3390/ijerph182413339 The climate crisis threatens to exacerbate numerous climate-sensitive health risks, including heatwave mortality, malnutrition from reduced crop yields, water- and vector-borne infectious diseases, and... more

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Framework for strengthening integration of mental health in programs

Catholic Relief Services; USAID; PEPFAR; 4 Children (Coordinating Comprehensive Care for Children); et al. (2018) C2

For children orphaned or made vulnerable by HIV (OVC)

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COVID-19 vaccine hesitancy worldwide: a systematic review of vaccine acceptance rates

Sallam, M. (2021) CC

Vaccines 2021, 9(2), 160; https://doi.org/10.3390/vaccines9020160

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Local suffering and the global discourse of mental health and human rights: An ethnographic study of responses to mental illness in rural Ghana

Ursula M Read, Edward Adiibokah and Solomon Nyame Globalization and Health (2009) CC

The Global Movement for Mental Health has brought renewed attention to the neglect of people with mental illness within health policy worldwide. The maltreatment of the mentally ill in many low-income countries is widely reported within psychiatric hospitals, informal healing centres, and family hom... more

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The Premium Counselling Relationship Manual

N. Chowdhary, H. Dabholkar; R. Velleman, et al. Sangath; London School of Hygiene & Tropical Medicine (2013) CC

his manual is for people who have had no formal training in counselling but wish to learn the necessary components to establishing an effective counselling relationship. It will be useful for anyone who is involved in counselling people with a mental health problem. h... more

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First Aid in armed conflicts and other situations of violence

International Committee of the Red Cross ICRC (2006)

A practical manual presenting the specific knowledge, skills and practices that First Aiders should have to act safely and effectively when caring for people caught up in armed conflicts and other situations of violence, such as internal disturbances and tensions.

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Community health workers to improve adherence to anti-seizure medication in rural South Africa: Is it cost-effective?
recommended

Wagner, R.C.; F. Norström, M. Y. Bertram et al. Epilepsia (2020) C1

Low- and middle-income countries (LMICs) experience a high disease burden for epilepsy, a chronic neurological condition.The authors evaluate the cost-effectiveness of community health workers (CHWs) to improve adherence to medication for epilepsy in South Africa. They found that utilizing CHWs to i... more