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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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Holding the line: communities as first responders to COVID-19 and emerging health threats

UNAIDS (2022) C_WHO

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Considerations to integrate climate change mitigation and adaptation into health care system strengthening

USAID (2022) CC

Addressing gaps and improving health system performance is simply not enough to prepare a health system to tackle the effects of the climate crisis. Climate change’s impact on the health and well-being of people globally is reaching catastrophic levels. As the earth continues to warm, tens of mill... more

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Healthy diet metrics: a suitability assessment of indicators for global and national monitoring purposes

World Health Organisation (WHO) (2023) C_WHO

Diets are changing everywhere, and the burden of disease associated with unhealthy diets is a worldwide concern. Measurement and monitoring of diets across countries and population groups is critical. However, there are no harmonized metrics for tracking how the healthfulness of diets around the wor... more

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Financing for Sustainable Development Report 2020

Inter-agency Task Force on Financing for Development United Nations (UN) (2020) CC

The 2020 Financing for Sustainable Development Report, the fifth report of the Inter-agency Task Force on Financing for Development, provides a comprehensive assessment of the state of sustainable finance. Prepared by more than 60 agencies of the United Nations system and partner international organ... more

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Safe Management of Wastes from Health-Care Activities, 2nd. ed.
recommended

World Health Organization WHO (2014) C_WHO

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POCKET GUIDE ON DISIBILITY EQUITY AN EMPOWERMENT TOOL

Disabled People South Africa (DPSA) DPSA PALIMENTRY OFFICE (2001) C2

In support of the African decade of disabled persons | 1st January 199 - 31st of December 2009

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Water, sanitation and hygiene in health care facilities: status in low and middle income countries and way forward.

Maria Neira, Edward Kelley, Mickey Chopra et al. World Health Organization, UNICEF (2015)

This report presents, for the first time, a global assessment of the extent to which health care facilities provide essential water, sanitation and hygiene (WASH) services. Drawing on data from 54 low- and middle-income countries, the report concludes that 38% lack access to even rudimentary levels ... more

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Ghana Demographic and Health Survey 2014

Ghana Statistical Service; Ghana Health Service, ICF DHS Program; USAID (2015) C1

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Ethiopia Country Refugee Response Plan: The integrated response plan for refugees from Eritrea, Sudan, South Sudan and Somalia (January 2019 - December 2020)

UN High Commissioner for Refugees UNHCR (2019) C1

he refugee flow to Ethiopia continued during 2018, with 36,1351 persons seeking safety and protection within the country’s borders. At the start of 2019, the nation hosted 905,8312 thousand refugees who were forced to flee their homes as a result of insecurity, political instability, military cons... more

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Political Will for the Health System Devolution in Kenya: Insights from three counties

Lipsky A., Mulaki A., Williamson T., et al. Health Policy Project, USAID (2015) C1

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Benin: Rapid Assessment of Sexual and Reproductive Health and HIV Linkages

IPPF, UNFPA, WHO, UNAIDS (2011) C2

This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual and The tool – developed by IPPF, UNFPA, WHO, UNAIDS, GNP+, ICW and Young Positives in 2009 – supports national assessments of the bi-directional linkages between sexu... more

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Ambition and Action in Nutrition 2016-2025

World Health Organization (WHO) (2017) C_WHO

WHO’s Ambition and Action in Nutrition 2016-2025 is anchored in the six global targets for improving maternal, infant and young child nutrition and the global diet-related NCD targets.
In support of the 2030 Agenda for Sustainable Development, particularly SDG2 and SDG3, and in concert w... more

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Zambia: National Malaria Elimination Strategic Plan 2017-2021

National Malaria Elimination Centre, Ministry of Health, Zambia (2017) C2

Moving from accelerated burden reduction to malaria elimination in Zambia

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Street Child & Child Protection AoR: Accelerating localised response to COVID-19: Practical pathways

Protection Cluster Street Child (2020) CC

The COVID-19 pandemic presents a rare and immediate opportunity for a norm shift towards localisation in the humanitarian architecture. Whils tinternational humanitarian actors are facing constraints in funding and restrictions on movement and travel, national and local level ... more

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Refugee and Migrant Health System Review: Challenges and Opportunities for Long-term Health system Strengthening in Uganda

Government of Uganda; World Health Organization WHO (2024) C_WHO

Uganda is Africa's largest refugee-hosting country and ranks fifth globally. Over the decades, Uganda has hosted refugees from nations including South Sudan, the Democratic Republic of Congo, Eritrea, Somalia, Sudan, Burundi, and Rwanda. As of early 2024, it hosts 1 600 000 refugees, primarily in re... more

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The health of the people: what works – the African Regional Health Report 2014

World Health Organization, Regional Office for Africa (2014) C_WHO

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Handbook for Integrated Vector Management in the Americas

Pan American Health Organization PAHO ; World Health Organization WHO (2019) C_WHO

This document compiles the recommendations made by the World Health Organization (WHO) and the Pan American Health Organization (PAHO) to help professionals in charge of vector control programs in Latin America and the Caribbean at the national, subnational, and local level update their knowledge in... more

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Toolkit for assessing health system capacity to manage large influxes of refugees, asylum-seekers and migrants

World Health Organization (WHO); Regional Office for Europe UNHCR; IOM (2016) C_WHO

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Public Health Aspects of Mental Health Among Migrants and Refugees: A Review of the Evidence on Mental Health Care for Refugees, Asylum Seekers and Irregular Migrants in the WHO European Region

Priebe, S.; D. Giacco, and Rawda El-Nagib. World Health Organization WHO; Regional Office Europe (2016) C_WHO

Health Evidence Network Synthesis Report, No. 47 The increasing number of refugees, asylum seekers and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during and after migration. ... more

Safe Management of Wastes from Health-Care Activities, 2nd. ed. recommended

Safe Management of Wastes from Health-Care Activities, 2nd. ed.
recommended