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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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Spatial distribution and determinants of asymptomatic malaria risk among children under 5 years in 24 districts in Burkina Faso

Ouédraogo M., Samadoulougou S., Rouamba T. et. al. Malaria Journal (2018) C2

Malaria Journal (2018) 17:460 https://doi.org/10.1186/s12936-018-2606-9 In malaria endemic countries, asymptomatic cases constitute an important reservoir of infections sustaining transmission. Estimating the burden of the asymptomatic population and identifying areas with elevated risk is import... more

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Вебинар: когорный анализ в рамках программного внедрения новых режимов лечения ЛУ-ТБ
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challenge TB challenge TB (2018) C1

Целью данной презентации является предоставление рекомендаций для работников здравоохранения, которые участвуют в лечении, мониторинге, оценке, анализе и отчетн�... more

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The use of low-cost Android tablets to train community health workers in Mukono, Uganda, in the recognition, treatment and prevention of pneumonia in children under five: a pilot randomised controlled

J.O’Donovan, K. Kabali, C. Taylor, et al. (2018) CC

Human Resources for Health201816:49; https://doi.org/10.1186/s12960-018-0315-7

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Standards for Paediatric Emergency Care

Cheema B., A. Westwood (2018) C1

Expert Consensus Report for Emergency Centres in Western Cape

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Integrated Management of Acute Malnutrition National Guidelines

Islamic Republic of Afghanistan Ministry of Public Health General Directorate of Preventive Medicine Public Nutrition Directorate (2018) C1

Integrated Management of Acute Malnutrition National Guidelines

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SMILE OVC program uses targeted approach to boost TB case-finding among vulnerable children

Catholic Relief Services CRS (2018) CC

In 2016 CRS leveraged the robust infrastructure of its large, multi-sectoral orphans and vulnerable children (OVC) program in Nigeria by expanding the program's core mandate to include community childhood TB casefinding, with a focus on highly vulnerable children and their caregivers

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Comparison of sensitivity and specificity of three diagnostic tests to detect Schistosoma mansoni infections in school children in Mwanza Region, Tanzania

Fuss, A.; H.D. Mazigo; D. Tappe, C.Kasang, A. Mueller (2018) CC

PLoS ONE 13(8): e0202499. https://doi.org/10.1371/journal.pone.0202499 This was a school-based cross-sectional study conducted in 2015 among 305 school children aged 7–16 years from two primary schools located in Ilemela and Magu Districts, north-western Tanzania. Single stool and urine samples w... more

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WHO recommendations: Policy of interventionist versus expectant management of severe pre-eclampsia before term

World Health Organization WHO (2018) C_WHO

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Child Death Surveillance and Response System (CDSR) Policy Brief

The Republic of the Union of Myanmar, Ministry of Health and Sports, UNICEF (2018) C1

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Review/Assessment of Implementation of Child Death Surveillance and Response (CDSR) in Myanmar

The Republic of the Union of Myanmar, Ministry of Health and Sports, Department of Public Health, Child Health Division (2018) C1

March - June 2018
Myanmar introduced Child Death Surveillance and Response (CDSR) in 2015 as an initiative to reduce child (under-5) mortality, an initiative that will contribute to the country’s efforts to meet the Sustainable Development Goals (SDG). Technical Guidelines for CDSR were devel... more

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Working towards School Safety

Myanmar Red Cross Society (2018) C1

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Facility Delivery and Postnatal Care Services Use among Mothers Who Attended Four or More Antenatal Care Visits in Ethiopia: Further Analysis of the 2016 Demographic and Health Survey

Abeje Fekadu, G. F. Ambaw Getahun; and S. Ayenalam Kidanie (2018) CC

Demographic and Health Surveys, Working Paper

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Quality Midwifery Care in the Midst of Crisis: Midwifery Capacity Building Strategy for Northern Syria (2017-2021)

UN Women, UNFPA; Health Cluster Turkey Hub; EU (2018) CC

Midwifery Capacity Building Strategy for Northern Syria 2017-2021 Available in Arabic

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Quality Midwifery Care in the Midst of Crisis: Midwifery Capacity Building Strategy for Northern Syria (2017-2021) (Arabic)

UN Women, UNFPA; Health Cluster Turkey Hub; EU (2018) CC

Midwifery Capacity Building Strategy for Northern Syria 2017-2021

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Coverage, Timelines, and Determinants of Incomplete Immunization in Bangladesh

Sheikh, Nurnabi; Sultana, Marufa et al. (2018) CC

Trop. Med. Infect. Dis. 2018, 3, 72;
The study identified some key determinants of untimely and incomplete childhood vaccinations in the context of Bangladesh. The findings will contribute to the improvement of age-specific vaccination and support policy makers in taking the necessary control ... more

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Zambia: WHO and UNICEF estimates of immunization coverage: 2018 revision

World Health Organization WHO; UNICEF (2018) C_WHO

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Zambia: Countdown to 2030 - Maternal, Newborn & Child Survival

Countdown to 2030 Commission (2018) C2

The Countdown country profile presents in one place the best and latest evidence to enable an assessment of a country’s progress in improving reproductive, maternal, newborn, and child health (RMNCH)

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Situational analysis of quality improvement in maternal and neonatal health care, Sierra Leone

United Nations Population Fund UNFPA (2018) CC

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Determinants of Maternal Care-Seeking in Kenya

Samwel Mbugua, Kerry L. D. MacQuarrie (2018) C1

DHS Further Analysis Reports No. 111
This study is a theory-driven analysis of the socio-demographic determinants of maternal care seeking in Kenya. Specifically, it examines predisposing, enabling, and need factors potentially associated with use of antenatal care (ANC), health facility delive... more

Вебинар: когорный анализ в рамках программного внедрения новых режимов лечения ЛУ-ТБ recommended

Вебинар: когорный анализ в рамках программного внедрения новых режимов лечения ЛУ-ТБ
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