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Screening for cardiovascular disease risk and subsequent management in low and middle income countries: challenges and opportunities

Bovet, P.; Chiolero, A.; Paccaud, F. et al. Public Health Reviews (2015) CC

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

Developmental Disabilities

Institute of Medicine (US); Committee on Nervous System Disorders in Developing Countries; National Academy of Sciences (2001) C2

Neurological, Psychiatric, and Developmental Disorders: Meeting the Challenge in the Developing World Institute of Medicine (US) Committee on Nervous System Disorders in Developing Countries. Washington (DC): National Academies Press (US); 2001.

Assessment of Food Security and Nutrition Situation in Nepal

Food and Agriculture Organization of the United Nations (2010) C1

Nigeria Integrated Biological and Behavioural Surveillance Survey (IBBSS) 2014

National AIDS and STIs Control programme (NASCP), Federal Ministry of Health, Nigeria (2015) C1

LESOTHO HEALTH POLICY - 2011

Ministry of Health and Social Welfare, Government of Lesotho (2011) C2

Situational assessment checklist to guide implementation of the global strategy for tuberculosis research and innovation

World Health Organization WHO (2021) C_WHO

Preventing HIV misdiagnosis: implementation guide

World Health Organization WHO (2024) CC

HIV testing programmes need to ensure that all clients who test for HIV are provided with correct diagnoses. The accuracy of HIV testing is critical to prevent misdiagnosis, as the consequences of giving an incorrect test result can be serious for clients, HIV testing services, HIV programmes and pu ... more

Malawi AIDS Response Progress Report

Government of Malawi, Ministry of Health (2015) C1

Namibia 2012/13 Health Accounts Report

Ministry of Health and Social Services, Windhoek, Namibia (2015) C1

Protecting health through urban redevelopment of contaminated sites: planning brief

World Health Organization WHO, Regional Office of Europe (2021) C_WHO

This brief summarizes the lessons learned across Europe on the redevelopment of contaminated sites as a part of urban planning and renewal. Specifically, it aims to provide information on the health and environmental impacts to be considered during site redevelopment projects, and to identify good p ... more

Kenya Malaria Indicator Survey 2020

Ministry of Health, Kenya; et al. ICF International (2021) C1

Final Report

ИНИЦИАТИВА SAFER СДЕЛАТЬ ЕВРОПЕЙСКИЙ РЕГИОН ВОЗ БОЛЕЕ БЕЗОПАСНЫМ

World Health Organization WHO, Regional Office of Europe (2021) C_WHO

УСПЕХИ В РЕАЛИЗАЦИИ ПОЛИТИКИ В ОТНОШЕНИИ КОНТРОЛЯ НАД АЛКОГОЛЬНОЙ ПРОДУКЦИЕЙ, 2010–2019 ГГ A detailed overview is provided of the implementation of alcohol policies described in the 10 action areas of the European Action Plan ... more

Antimicrobials use, reistance and containment baseline survey (Ethiopia)

Drug Administration and Control Authority of Ethiopia , et al. (2009) C1

Emergence of antimicrobial resistance is a result of the use, overuse and misuse of antibiotics both in humans and animals. In Ethiopia, there are indications on the misuse of antibiotics by health care providers’, unskilled practitioners, and drug consumers. These coupled with rapid spread of res ... more

Injury Prevention and Environmental Health. Disease Control Priorities, Third Edition : Volume 7

Mock, Charles N.; Nugent, Rachel; Kobusingye, Olive; et al. World Bank (2017) CC

The substantial burden of death and disability that results from interpersonal violence, road traffic injuries, unintentional injuries, occupational health risks, air pollution, climate change, and inadequate water and sanitation falls disproportionally on low- and middle-income countries. Injury Pr ... more

Liberia HIV & AIDS Response Progress Report April 2016

National AIDS Commission of Liberia (2016) C1

Detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants

Ministry of Health & Family Welfare, India (2016) C1

Background Document

Global Atlas On Cardiovascular Disease Prevention And Control

World Health Organization, World Heart Federation, World Stroke Organization (2011) C_WHO

The regional professional regulatory framework for nursing and midwifery

World Health Organization WHO, Regional Office of Africa (2016) C_WHO

Creating a common approach ro regulation, educational preparation and practice: future direction for nursing & midwifery development in the African Region

Water, sanitation, hygiene and health

World Health Organisation (WHO) (2019) C_WHO

Safe water, sanitation and hygiene (collectively known as WASH) are crucial for human health and well-being. Yet, millions of people globally lack adequate WASH services and consequently suffer from or are exposed to a multitude of preventable illnesses.

NATIONAL MEDICAL STANDARD FOR REPRODUCTIVE HEALTH Vol I

Government of Nepal Ministry of Health and Population Family Health Division (2010)

4th Edition