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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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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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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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WHO recommendations on home-based records for maternal, newborn and child health. Web annex B. Characteristics of included studies, key informants and related documents.

World Health Organization WHO (2018) C_WHO

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The Sphere Handbook. Humanitarian Charter and Minimum Standards in Humanitarian Response. New Edition
recommended

Sphere (2018) C1

Humanitarian Charter and Minimum Standards in Humanitarian Response. The 2018 Sphere Handbook builds on the latest developments and learning in the humanitarian sector. Among the improvements of the new edition, readers will find a stronger focus on the role of local authorities and communities as ... more

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Guidelines for the Care and Treatment of Persons Diagnosed with Chronic Hepatitis C Virus Infection

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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Health of refugees and migrants. WHO Region Europe 2018

World Health Organization WHO, Regional Office for Europe (2018) C_WHO

Regional situation analysis, practices, experiences, lessons learned and ways forward.

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Report on the health of refugees and migrants in the WHO European Region

World Health Organization WHO, Regional Office for Europe (2018) C_WHO

No Public Health without Refugee and Migrant health. This report, the first of its kind, creates an evidence base with the aim of catalysing progress towards developing and promoting migrant-sensitive health systems in the 53 Member States of the WHO European Region and beyond. This report seeks to... more

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Reconhecimiento de doenças tropicais negligenciadas pelas alterações cutâneas. Guia de treinamento para profissionais de saúde da linha de frente

Pan American Health Organization (PAHO) (2018) C_WHO

Este guia de treinamento explica como identificar os sinais e sintomas das doenças tropicais negligenciadas da pele por meio de suas características visíveis. Contém ainda informações sobre métodos de diagnóstico e manejo de problemas cutâneos comuns que os profissionais de saúde da linha ... more

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The responsibility to prevent and respond to sexual and gender-based violence in disasters and crises

International Federation of Red Cross and Red Crescent Societies (IFRC) (2018) C1

Research results of sexual and gender-based violence (SGBV) prevention and response before, during and after disasters in Indonesia, Lao PDR and the Philippines
This report contributes new evidence on why and how sexual and gender-based violence (SGBV) risks increase during humanitarian disasters... more

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Towards inclusion: A guide for organisations and practitioners

van Ek, Vera; Schot, Sander (2018) C1

The publication aims to establish the rationale for inclusion and provides technical advice and tools for putting theory into practice. It is intended to be used as a reference during organizational and program/project development with a focus on gender responsiveness and disability inclusion as wel... more

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Handbook for national quality policy and strategy

World Health Organization WHO (2018) C_WHO

A practical approach for developing policy and strategy to improve quality of care The handbook outlines an approach for the development of national policies and strategies to improve the quality of care. Such policy and strategy can help clarify the structures, roles and responsibilities within n... more

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Kenya National Cancer Sreening Guidelines

Ministry of Health, Kenya (2018) CC

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Wound Care Protocol

Medicins Sans Frontieres MSF (2018) C2

Wound care is a regular component of the package of care we offer in the majority of our health care facilities and represents a high volume of activities. The current practices in MSF projects are often based on the habits of each individual supervisor, the wound care material we off... more

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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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Ethiopia Malaria Operational Plan FY 2018

PEPFAR (2018) C1

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UNFPA Myanmar Annual Report 2017

United Nations Population Fund (UNFPA) (2018) C1

Ensuring reproductive rights for all

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Examining nursing practices for management of sepsis in low income countries: the case of Uganda

Aliga C., Mutyabule J., Nakate G., et al. (2018) CC

Examining nursing practice guidelines to improve quality of care for patients with sepsis in low income countries is required. • A large amount of information about best practice standards in sepsis management is available for healthcare professionals; however, implementation and adherence to prac... more

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Health Bulletin 2017 (Bangladesh)

Republic of Bangladesh, Ministry of Health and Family Welfare (2018) C1

The Sphere Handbook. Humanitarian Charter and Minimum Standards in Humanitarian Response. New Edition recommended

The Sphere Handbook. Humanitarian Charter and Minimum Standards in Humanitarian Response. New Edition
recommended