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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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Hiding behind the coalition

Human Rights Watch (2018)

Failure to Credibly Investigate and Provide Redress for Unlawful Attacks in Yemen

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“Bangladesh Is Not My Country”. The Plight of Rohingya Refugees from Myanmar

Human Rights Watch (2018) C1

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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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Social network methods for HIV case-finding among people who inject drugs in Tajikistan

M. Kan; D. B. Garfinkel; O. Samoylova; et al. Journal of the International AIDS Society (2018) C2

Kan M et al. Journal of the International AIDS Society 2018, 21(S5):e25139 http://onlinelibrary.wiley.com/doi/10.1002/jia2.25139/full | https://doi.org/10.1002/jia2.25139

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Feasibility of needle and syringe programs in Tajikistan distributing low dead space needles

W. A. Zule; A. Latypov; D. Otiashvili; et al. Harm Reduction Journal; BMC (2018) CC

Zule et al. Harm Reduction Journal (2018) 15:44 https://doi.org/10.1186/s12954-018-0249-3

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WHO recommendations on home-based records for maternal, newborn and child health

World Health Organization WHO (2018) C_WHO

The primary audience for the guideline is policy makers and health programme managers of MNCH and immunization programmes in ministries of health where decisions are made and policies created on the use and implementation of homebased records. The guideline is also aimed at health providers who use... more

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Integrating palliative care and symptom relief into primary health care : WHO guide for planners, implementers and managers

World Health Organization WHO (2018) C_WHO

Inequality of access to palliative care and symptom relief is one of the greatest disparities in global health care (1). Currently, there is avoidable suffering on a massive scale due to lack of access to palliative care and symptom relief in low- and middle-income countries (LMICs) (1). Yet basic p... more

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Integrating palliative care and symptom relief into responses to humanitarian emergencies and crises: a WHO guide

World Health Organization WHO (2018) C_WHO

Humanitarian emergencies and crises (Humanitarian emergencies and crises) are large-scale events that may result in the breakdown of health care systems and society, forced displacement, death, and physical, psychological, social and spiritual suffering on a massive scale. Current responses to Human... more

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WHO Expert Consultation on Rabies. 3rd report

Abela-Ridder, B. World Health Organisation (WHO) (2018) C_WHO

WHO TRS N°1012. Key updates include: (i) surveillance strategies, including cross-sectoral linking of systems and suitable diagnostics; (ii) the latest recommendations on human and animal immunization; (iii) palliative care in lowresource settings; (iv) risk assessment to guide management of bite... more

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Managing epidemics
recommended

World Health Organization WHO (2018) C_WHO

Key facts about major deadly diseases.This manual provides concise and up-to-date knowledge on 15 infectious diseases that have the potential to become international threats, and tips on how to respond to each of them. You can download an interactive version directly at the website http://www.who.... more

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Uganda: Ebola Preparedness Emergency Plan of Action (EPoA) - DREF Operation n° MDRUG041

International Federation of Red Cross And Red Crescent Societies (2018) C1

Following the declaration of the 9th Ebola Disease Outbreak (EVD) on 8 May 2018 by the Democratic Republic of Congo (DRC) Ministry of Health, the WHO has raised the alert for neighbouring countries of the Democratic Republic of the Congo (DRC) which share extensive borders, hosting DRC refugees and ... more

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Developmental disabilities among children younger than 5 years in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

Global Research on Developmental Disabilities Collaborators (2018) CC

The Lancet Global Health, Vol. 6, No. 10 Published: August 29, 2018

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Standard Treatment Guidelines & National Essential Medicines List Tanzania Mainland

Ministry of Health, Community Development, Gender, Elderly and Children; Government of Tanzania (2018) C1

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Standards of Medical Care in Diabetes—2019 Abridged for Primary Care Providers

American Diabetes Association (2018) CC

This is an abridged version of the 2019 Standards containing the evidence-based recommendations most pertinent to primary care. The tables and figures have been renum-bered from the original document to match this version. The complete 2019 Standards of Care do... more

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Achieving UNAIDS 90-90-90 targets for pregnant and postpartum women in sub-Saharan Africa: progress, gaps and research needs

L. L. Abuogi; J. M. Humphrey; C. Mpody, et al. Journal of Virus Eradication (2018) CC

Journal of Virus Eradication 2018; 4 (Supplement 2): 33–39

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WHO recommendations: Induction of labour at or beyond term

World Health Organization WHO (2018) C_WHO

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Guideline: counselling of women to improve breastfeeding practices

World Health Organization WHO (2018) C_WHO

This guideline examines the evidence and makes recommendations and remarks on the implementation of some of the details of breastfeeding counselling, such as frequency, timing, mode and provider of breastfeeding counselling, to improve breastfeeding practices. The objective of this guideline is to p... more

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Catalysing the HIV response for adolescents

Unicef; UNAIDS (2018)

In eastern and southern Africa #EndAdolescentAIDS July 2018 - A global call to action - Case studies - Blogs - Next steps

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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

Managing epidemics recommended

Managing epidemics
recommended