Travailler avec les dirigeants communautaires pour lutter contre la VBG est une très bonne et prometteuse approche, car les dirigeants communautaires sont les gardiens de toutes nos croyances et coutumes. Étant donné que la VBG est enracinée dans les croyances et les coutumes, essayer de s...attaquer à la VBG sans impliquer les dirigeants communautaires peut mener à un grand conflit, et vous n’aurez aucun résultat. Les dirigeants communautaires ont également des rôles à jouer dans la réponse aux survivantes de la VBG. Les survivantes s’adressent aux chefs de villages pour faire part de leurs préoccupations et de leurs expériences, et les dirigeants ont des pratiques pour traiter les préoccupations et une approche de la justice qui se base d’abord sur le maintien de la cohésion sociale, mais la VBG ne peut pas être résolue comme n’importe quel autre conflit. D’après mon expérience des programmes de VBG dans mon propre pays et ailleurs, j’ai appris qu’il est plus difficile d’impliquer les dirigeants communautaires dans certains endroits que dans d’autres. Parfois, les aspects religieux rendent les choses plus difficiles. Mais si vous demandez à n’importe quel dirigeant de décrire ce qu’est un dirigeant, ce qu’un dirigeant fait, il parlera de la protection de la communauté. Et c’est aussi ce que nous voulons — protéger les femmes et les filles dans la communauté.
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La surveillance basée sur les événements est définie comme la collecte, le suivi, l'évaluation et l'interprétation organisés d'informations ponctuelles non structurées concernant des événements ou des risques de santé, qui peuvent représenter un risque aigu pour la santé. Les composant...es de surveillance axées sur les indicateurs et sur les événements servent à la fonction d'alerte précoce et de réponse du système de surveillance de la santé publique. Le cadre de la surveillance axée sur les événements offre des conseils aux praticiens de la santé publique qui cherchent à mettre en œuvre une surveillance axée sur les événements à chaque niveau administratif de leur pays.
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InfoSapiens research agency, commissioned by USAID Economic Resilience Activity, conducted a telephone survey in different regions of Ukraine in August 2022. A total of 1,000 women and men aged 16 to 60+ were asked about access to the Internet, jobs, gender-based violence, and business prospects dur...ing the war.
Almost half – 45% of people – responded that they do not have access to the Internet or a computer and cannot study or work online.
One in five respondents is forced to save on groceries or borrow to buy something other than food (telephone, furniture).
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Monkeypox virus is an orthopoxvirus that causes human monkeypox, a viral disease with symptoms similar to smallpox, including fever and rash. Following the worldwide eradication of smallpox in 1980, monkeypox emerged as the most significant orthopoxvirus infection in humans. Cases are most often rep...orted from rural areas of Central and West African countries, particularly in regions close to tropical rainforest where people may have contact with infected animals. Someone can become infected through direct contact with respiratory droplets of another person who has monkeypox in the home or in a health facility, or with contaminated materials such as bedding. Although these are the main modes of person-to-person transmission, monkeypox outbreaks tend to occur in small clusters of a few cases without leading to widespread community transmission. For this reason, outbreaks can be easily controlled when responded to rapidly. On several occasions, monkeypox has been reported in other regions due to importation by travelers or infected animals. This course provides a general introduction to the disease through a video and accompanying downloadable presentation that can be reviewed at your own pace. It is intended for health personnel responsible for prevention and control of monkeypox, and for the general public.
The content and scope of this course on monkeypox have been tailored for outbreaks in African countries where the disease is endemic. The course material was last updated in 2020 and may not reflect most recent WHO guidance issued for the multi-country outbreak in 2022.
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Depuis son apparition début décembre 2019 en Chine, la pandémie de coronavirus (CoViD19), une nouvelle forme de syndrome respiratoire aigu sévère, s'est propagée dans le monde entier avec une rapidité sans précédent. Le 30 janvier 2020, l'Organisation mondiale de la santé (OMS) a déclaré... l'épidémie comme une urgence sanitaire internationale, suivie par la déclaration de la pandémie le 11 mars 2020, rendant obligatoire pour tous les pays de surveiller en permanence la situation et de mettre en œuvre des mesures de prévention et de réponse.
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Accesed on 20.03.2020
L’inaccessibilité géographique et financière aux structures de soins est
entre autres des facteurs limitant le nombre de bénéficiaires. D’où la nécessité
de mettre en place un centre ophtalmologique.
L’objectif étant de rendre les services de soi...ns oculaires accessibles à nos
populations afin de réduire les causes majeures de la cécité. Une réponse que
nous estimons adéquate aux besoins de la communauté afin de permettre aux
personnes avec déficience visuelle de s’intégrer dans le processus de
développement engagé dans le diocèse et même du pays entier.
Le coût du projet estimé est à apprécier par Lions Club Acacia et MK
ONLUS Italiana par rapport à sa pertinence et son intérêt pour les bénéficiaires.
C’est pourquoi en tant qu’une organisation oeuvrant dans la lutte contre
la cécité sous toutes ses formes et de la pertinence de la présente activité qui
cadre avec les nobles missions de l’Eglise ainsi que du Ministère de la Santé,
nous sollicitons un appui adéquat pour la mise en place de cette structure et
son équipement au profit des bénéficiaires.
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Ces orientations provisoires sont destinées aux coordinateurs de terrain, aux responsables de site et au personnel de santé publique, ainsi qu'aux gouvernements nationaux et locaux et à la communauté humanitaire au sens large travaillant dans des situations humanitaires sur des sites de distribu...tion de nourriture, qui sont impliqués dans la prise de décision et la mise en œuvre d'activités multisectorielles de préparation et de réponse aux épidémies COVID-19 - les orientations sont donc pertinentes pour tous les Clusters humanitaires et leurs partenaires.
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Accessed on 20.03.2020
Il est troublant de se voir changer. Cela soulève toutes sortes d’interrogations simples ou complexes, audacieuses, parfois angoissantes, toujours importantes. Des questions qui touchent à l’identité, au corps, à la relation à l’autre, à la sexualité et à l’...amour. L’adolescence est une période de recherche, de découvertes, d’essais et de remises en question. Cette brochure propose des pistes de réponses et des éléments de réflexion pour combattre les idées reçues, les préjugés et les fausses croyances souvent sources de souffrances pour soi-même et pour les autres.
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African Population Studies, Etude de la population africaine vol. 20 n° 2
La sexualité des adolescents est devenue un sujet de préoccupation de santé publique, avec l’extension du SIDA au cours de ces dernières années, particulièrement en milieu urbain.
Quels sont les déterminants des pr...atiques sexuelles des adolescents ? Pourquoi certaines
pratiques peuvent-elles être qualifiées de comportements à risque ? Dans quelles mesures les politiques de santé publique pourront-elles résoudre les problèmes liés à ces pratiques
sexuelles ? C’est pour apporter des éléments de réponse à ces questions que l’enquête sur le comportement sexuel a été menée auprès de 806 adolescents filles et garçons dans la ville de Bangui. Huit discussions de groupes ont été également organisées avec ces adolescents et leurs parents.
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Ces orientations vous proposent les principes et procédures de base en matière de décontamination de l'environnement physique dans le contexte de la pandémie du coronavirus 2019 (COVID-19). La contamination des surfaces et les risques de transmission des maladies diffèrent ...en fonction de l’environnement et le nombre de personnes fréquentant un endroit donné (par exemple, les établissements de santé, les transports publics et autres installations/lieux de travail rassemblant un grand nombre de personnes). Mais les principes de décontamination de l’environnement restent les mêmes. Etant donné que toutes les situations ne peuvent pas être couvertes ici, ces conseils peuvent être adaptés aux situations individuelles à mesure qu'elles se présentent. Ces orientations visent à fournir des indications sur la mise en œuvre de la décontamination environnementale dans la pratique et devraient être appliqués dans le cadre d’un programme planifié et doté de ressources [1], qui est pleinement intégré aux autres efforts de réponse à la COVID-19.
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Acute Radiation Syndrome (ARS) (sometimes known as radiation toxicity or radiation sickness) is an acute illness caused by irradiation of the entire body (or most of the body) by a high dose of penetrating radiation in a very short period of time (usually a matter of minutes). The major cause of thi...s syndrome is depletion of immature parenchymal stem cells in specific tissues. Examples of people who suffered from ARS are the survivors of the Hiroshima and Nagasaki atomic bombs, the firefighters that first responded after the Chernobyl Nuclear Power Plant event in 1986, and some unintentional exposures to sterilization irradiators.
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Le document fournit des directives essentielles pour prévenir et gérer les maladies diarrhéiques aiguës, en particulier dans les situations d'urgence complexes comme les conflits, les catastrophes naturelles ou les crises sanitaires. Il met en avant l'importance de l'accès à l'eau potable, de ...l'assainissement, de l'hygiène personnelle et de la prise en charge rapide des malades grâce à des solutions de réhydratation orale (SRO). Le texte insiste également sur la nécessité de la coordination entre les acteurs locaux et internationaux pour une réponse efficace et durable.
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Cette banque de questions est un menu de questions qualitatives relatives aux connaissances, aux perceptions et aux pratiques du personnel de santé lors d'épidémies de maladies infectieuses. La banque de questions générera des données qualitatives sur la compréhension subjective qu'ont les pr...ofessionnels de la santé des risques, de la gestion des cas, de la protection et des opérations plus larges en cas d'épidémie. Ces données peuvent être utilisées pour informer les activités de communication sur les risques et d'engagement communautaire, ainsi que d'autres piliers de la réponse. Certains des sujets abordés dans ces questions sont complexes, par exemple la stigmatisation ou les opinions sur la sécurité des vaccins.
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Asthma is a heterogeneous condition characterised by chronic inflammation and variable expiratory airflow limitation, with airway reversibility. Management of chronic inflammation with anti-asthma medication improves asthma control and quality of life. The aim of this journal is to provide an eviden...ce-based approach for chronic asthma management in young children and adolescents and provide guidance on the use of new asthma drugs in children.
For that, the South African Childhood Asthma Working Group (SACAWG) convened in January 2017. The asthma treatment task group reviewed the available scientific literature and international asthma treatment guidelines. The evidence was then graded according to the Grades of Recommendation Assessment, Development and Evaluation (GRADE) system and recommendations were made based on scientific evidence and local context. Asthma management recommendations were made for children ˂6 years of age and older children and adolescents, as well as for stepping up and stepping down of therapy. This review does not include biologics or novel asthma drugs, which are covered in another CME article in this edition of SAMJ.
The final conclusions are that it is important to ensure good response, treatment and adherence, type of medication, device and checking of technique are all critical. Stepping up of therapy should be done only after ensuring good adherence and technique. Once therapeutic response is achieved, medication administration has to be stepped down to improve ease of use and avoid unnecessary side-effects.
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Situation analysis
Description of the disaster
An Ebola epidemic that started in March 2014 in Guinea has relentlessly continued to claim lives and to spread to other countries in West Africa. The current Ebola outbreak is the largest in history and the first to affect multiple countries simu...ltaneously. There have been over 24 000 reported confirmed, probable, and suspected cases of EVD in Guinea, Liberia and Sierra Leone (table 1), with almost 10 000 reported deaths (outcomes for many cases are unknown). A total of 58 new confirmed cases were reported in Guinea, 0 in Liberia, and 58 in Sierra Leone in the 7 days to 8 March (4 days to 5 March for Liberia). Many experts believe that the official numbers substantially understate the size of the outbreak because of families' widespread reluctance to report cases. Because of the fluidity of movement of people between West Africa and several countries in the East African countries, especially Kenya and Ethiopia (who in turn have extensive interaction with other countries in the region in terms of human movement), the risk of an outbreak of Ebola in East Africa is as eminent as in any of the countries bordering the affected countries. The IFRC regional office intends to support National Societies to raise their Ebola preparedness and response capacity through training, technical support in planning and implementation of Ebola related activities, and coordination both within and outside the movement.
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The One Health (OH) High-Level Expert Panel (OHHLEP) of the Quadripartite Organizations defined OH as an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems.”
It recognizes the health of humans, domestic and wild animals, plan...ts, and the wider environment (including ecosystems) are closely linked and interdependent [1]. The Tripartite which comprised the Food and Agriculture Organization (FAO) of the United Nations (UN), the World Health Organization (WHO), and the World Organisation for Animal Health (WOAH) later became the Quadripartite organizations when the United Nations Environment Programme (UNEP) joined the OH alliance in 2022. There are Global and Regional Quadripartite Secretariats consisting of officials of headquarters and regional offices, respectively.
Over the years, the Tripartite/Quadripartite organizations and other partner agencies have developed several OH assessment and operational tools to support Member States in assessing their core capacities to achieve compliance with the requirements of international standards such as the International Health Regulations 2005 (IHR), WOAH’s Terrestrial and Aquatic Animal Health Codes, World Trade Organization’s Sanitary and Phytosanitary Measures (WTO-SPS), FAO/WHO Codex standards, etc. Technical areas that the existing tools currently support include progress monitoring, coordination and collaboration mechanisms, and capacity building for prevention, detection, preparedness, and response to health threats emerging at human-animal-environment interface. More OH B operational tools are in the pipeline.
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WHO today released its first roadmap to tackle postpartum haemorrhage (PPH) – defined as excessive bleeding after childbirth - which affects millions of women annually and is the world’s leading cause of maternal deaths.
Despite being preventable and treatable, PPH results in around 70 000 de...aths every year. For those who survive, it can cause disabilities and psychological trauma that last for years.
“Severe bleeding in childbirth is one of the most common causes of maternal mortality, yet it is highly preventable and treatable,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “This new roadmap charts a path forward to a world in which more women have a safe birth and a healthy future with their families.”
The Roadmap aims to help countries address stark differences in survival outcomes from PPH, which reflect major inequities in access to essential health services. Over 85% of deaths from PPH happen in sub-Saharan Africa and South Asia. Risk factors include anaemia, placental abnormalities, and other complications in pregnancy such as infections and pre-eclampsia.
Many risk factors can be managed if there is quality antenatal care, including access to ultrasound, alongside effective monitoring in the hours after birth. If bleeding starts, it also needs to be detected and treated extremely quickly. Too often, however, health facilities lack necessary healthcare workers or resources, including lifesaving commodities such as oxytocin, tranexamic acid or blood for transfusions.
“Addressing postpartum haemorrhage needs a multipronged approach focusing on both prevention and response - preventing risk factors and providing immediate access to treatments when needed - alongside broader efforts to strengthen women’s rights,” said Dr Pascale Allotey, WHO Director for Sexual and Reproductive Health and HRP, the UN’s special programme on research development and training in human reproduction. “Every woman, no matter where she lives, should have access to timely, high quality maternity care, with trained health workers, essential equipment and shelves stocked with appropriate and effective commodities – this is crucial for treating postpartum bleeding and reducing maternal deaths.”
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AVADAR is a mobile sms-based software application designed to improve the quality and sensitivity of Acute Flaccid Paralysis (AFP) surveillance by health workers and key informants within hospital facilities and local communities.
The idea is simple: Health workers visit remote villages to check if... local inhabitants have any symptoms of a range of life-threatening infectious diseases, including polio and measles. Then, with the mobile app, they quickly and easily alert WHO.
The AFP video component was developed by World Health Organization (WHO) and eHA, and the software design component was handled by Novel-T. To date, eHA has translated the app into 17 languages.
Informant Selection & Capacity Building
The selection of informants (including health workers) was led by the WHO and each country’s Ministry of Health team. Once selected, screening and training was jointly conducted by WHO, the Ministries of Health, and eHealth Africa team.
In several countries, “special informants” with limited literacy participate in the project via a simplified version of the app that only requires a “yes” or “no” response to having seen a child with AFP symptoms
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Climate change presents the single biggest threat to human development, and its widespread impacts disproportionately burden the poorest and most vulnerable households in fragile and rural developing contexts – particularly women and children.
According to the Intergovernmental Panel on Climate C...hange’s (IPCC) latest report, ‘between 2010 and 2020, droughts, floods and storms killed 15 times as many people in highly vulnerable countries, particularly in Africa — which is responsible for less than 3 percent of global emissions – than in the wealthiest countries’.
Recognising environmental degradation and climate change are key accelerators of extreme child vulnerability, World Vision (WV) approved the Environmental Stewardship Management Policy (‘the Policy’) and Guidelines (‘the Guidelines’) in 2021.
To support the implementation of the Policy and Guidelines, WV has developed this Environmental Stewardship and Climate Action Handbook (‘the Handbook’) to help offices across the WV Partnership implement best practice environmental management strategies both in the field and in our operations and facilities.
Integrating environmental stewardship and climate action into all our work – whether that be in our Area Programmes, grant projects, responses to disasters or advocacy – is critical to achieving WV’s strategy.
As a Christian organisation we are compelled to follow the ways of Jesus Christ, calling us to care for the ‘least of these’ (Matthew 25:40) – the vulnerable children who are disproportionately impacted by climate change. Our response to the degradation of the environment is not motivated by political expediency or funding – but because we are called to steward God’s creation (Genesis 1:28).
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To assess national-level responses to NCDs, WHO has implemented NCD country capacity surveys periodically since 2001. This report is the latest in that series. Since the first survey round, the NCD Country Capacity Survey (NCD CCS) has been conducted a further seven times, most recently in 2021. In ...the survey, completed by the NCD focal point within each country’s ministry of health or similar agency, countries are asked to report on the following topics relating to NCDs: (i) public health infrastructure, partnerships and multisectoral collaboration; (ii) policies, strategies and action plans; (iii) health information systems and surveillance; (iv) health system capacity for detection, treatment and care; and, added for 2021, (v) the impact of the COVID-19 pandemic on NCD-related resources and activities. The questionnaire is web-based and requires supporting documentation wherever possible. In the 2021 round, data were collected from May onwards, with the last survey responses arriving in September. Validation was carried out by WHO regional offices and WHO headquarters. Country responses to previous rounds of the survey were incorporated into the analysis to assess progress since 2010. Although all 194 Member States responded to the survey, data comparisons were restricted to the 160 countries that had responded to all rounds of the survey since 2010.
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