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A practical tool to help health workers in the clinical and operational management of multidrug-resistant tuberculosis with special focus on the introduction, implementation and management of the nine-month treatment regimen.
The availability of water, sanitation and hygiene (WASH) services in health care facilities, especially in maternity and primary-care settings where they are often absent, supports core aspects of quality, equity and dignity for all people. This document describes an approach for conducting a nation
...
al situational analysis of water, sanitation and hygiene (WASH) as a basis for improving quality of care. This document describes the process from the initial preparatory stages, including triggers for action, through data collection and analysis to the dissemination of results. Each element of the approach is described and possible limitations and mechanisms to mitigate these are explored.
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Lesbische, schwule, bisexuelle, trans- und intergeschlecht-liche (LSBTI*) Personen erfahren in besonders hohem Maße Gewalt. Bei LSBTI*-Geflüchteten trifft dies nicht nur auf die Erfahrungen im jeweiligen Herkunftsland und auf dem Fluchtweg zu, sondern auch auf die Zeit nach ih-rer An
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kunft in Deutschland. Insbesondere der Aufenthalt in den Sammelunterkünften der Länder und Kommunen ist häufig von homo- und transfeindlichen Gewalterfah-rungen geprägt.
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In diesem Bericht untersucht der Unabhängige Experte, inwiefern lesbische, schwule, bisexuelle, transgeschlechtliche und diversgeschlechtliche Menschen nach wie vor durch diskriminierende Rechtsvorschriften und soziokulturelle Normen im Bildungswesen, in der Gesundheits-und W
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ohnraumversorgung, in der Arbeitswelt sowie in anderen Bereichen marginalisiert und ausgegrenzt werden. Darüber hinaus betrachtet der Unabhängige Experte das Thema Inklusion und den Zugang zu den entsprechenden Rechten unter dem Aspekt der Intersektionalität und analysiert die verstärkende Diskriminierung, die zu Ausgrenzung und Marginalisierung führt.
more
: interim guidance, 17 February 2021
This document provides interim guidance on the management of the blood supply in response to the pandemic outbreak of coronavirus disease (COVID-19). It emphasizes the importance of being prepared and responding quickly and outlines key actions and measures that
...
the blood services should take to mitigate the potential risk to the safety and sufficiency of the blood supplies during the pandemic.
It should be read in conjunction with WHO Guidance for National Blood Services on Protecting the Blood Supply During Infectious Disease Outbreaks, which provides general guidance on the development of national plans to respond to any emerging infectious threats to the sufficiency or safety of the blood supply.
more
Le nouvel afflux de réfugiés de la République Centrafricaine (RCA), souligne le caractère cyclique de la crise humanitaire, avec des afflux qui tendent à se répéter tous les quatre ans et qui remettent profondément en cause la manière de répondre. Le conflit et l'insécurité en RCA contin
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uent de provoquer des déplacements forcés importants, tant à l'intérieur de la RCA que vers les pays voisins, surtout concernant la République Démocratique du Congo (RDC).
more
How to address the global crisis in antibiotic research and development.
The report includes a comprehensive summary and critical evaluation of recent initiatives to overcome the barriers to achieve sustainable access to antibiotics. As antibiotic resistance will continue to develop as long as we
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depend on these medicines to treat bacterial infections, a continuous supply of new effective antibiotics is needed. The report identifies five key challenges that must be solved in order to achieve sustainable access for all, and charts out options for governmental action in response to each of them.
more
Estimated number of pregnant women, number with access to at least four antenatal care visits, and those delivering in hospital settings in the Americas, 2019...
Recommendations and Summary
This report explores the impact of COVID-19 on humanitarian access in the initial months of the crisis, including both the delivery of assistance and performance of protection activities. It examines the varying crisis responses, including the shift to a more localized a
...
pproach in certain cases. The analysis draws on case research from Colombia, Myanmar, Nigeria, South Sudan and Yemen, as well as on wide-ranging interviews with humanitarian practitioners and experts from around the world. The research was conducted between August – November 2020. It does not make claims about the legitimacy of government decisions to restrict access – indeed, in many instances, there appeared to be a clear objective of limiting the spread of COVID-19 – but instead focuses on how access limitations have affected the delivery of aid.
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Revista Peruana de Medicina Experimental y Salud Pública 2017 Vol 34 (2)
En el presente artículo se desarrolla la situación epidemiológica de la TB en el Perú al 2015, los avances en su control, de acuerdo a tres enfoques: biomédico, de gestión pública y de determinantes sociales de la salu
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d, y plantea desafíos para hacer frente a la TB en el marco de la Ley 30287 y la estrategia "Fin de la Tuberculosis".
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El presente compendio normativo agrupa las principales normas que enmarcan las intervenciones del sector salud y establecen los mecanismos y procedimientos referidos a la coordinación entre el sector público y privado vinculados a la prevención y control de la tuberculosis, orientados a garantiza
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r los derechos y deberes fundamentales de las personas afectadas por la tuberculosis.
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Los pueblos indígenas presentan tasas más altas de morbilidad y mortalidad por tuberculosis (tb) que los demás grupos étnicos. El acceso limitado a servicios de salud debido a la ubicación geográfica y a problemas del conflicto armado los mantiene aislados. En este estudio se pr
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esenta un análisis de la situación epidemiológica de la tb en pueblos indígenas, y se identifican factores socioculturales que pueden ayudar a mejorar el control de la enfermedad.
more
Bei der vorliegenden Publikation handelt es sich um die auf Grundlage aktueller Daten und Fakten überarbeitete Neuauflage der 2014 veröffentlichten Positionen. Nach einer kurzen Bestimmung zentraler Begriffe werden wichtige Aspekte, die mit der Aufnahme und Unterbringung sowie mit den Rechten und
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Pflichten von umF verbunden sind, diskutiert.
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The discourse on climate change and migration has shifted from labelling migration merely as a consequence of climate impacts, to describing it as a form of human adaptation. This article explores the adaptation framing of the climate change and migration nexus and highlights its shortcomings and ad
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vantages. While for some groups, under certain circumstances migration can be an effective form of adaptation, for others it leads to increased vulnerabilities and a poverty spiral, reducing their adaptive apacities. Non-economic losses connected to a change of place further challenge the notion of successful adaptation. Even when migration improves the situation of a household, it may conceal the lack of action on climate change adaptation from national governments or the international community. Given the growing body of evidence on the diverse circumstances and outcomes of migration
in the context of climate change, we distinguish between reactive and proactive migration and argue for a precise differentiation in the academic debate
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Geflüchtete Menschen in Aufnahmeeinrichtungen werden in bevölkerungsbezogenen Erhebungen, Routinedaten und amtlichen Statistiken bislang unzureichend berücksichtigt. Im Rahmen des Forschungs- und Entwicklungsvorhabens „Surveillance der Gesundheit und primärmedizinischen Versorgung von Asylsuch
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enden in Aufnahmeeinrichtungen“ (PriCare) wurde daher ein Ansatz für ein Gesundheitsmonitoring durch Sekundärnutzung medizinischer Routinedaten in den Ambulanzen der Aufnahmeeinrichtungen für geflüchtete Menschen entwickelt. Hierzu wurde eine Dokumentationssoftware (Refugee Care Manager, RefCare©) zur Digitalisierung und Harmonisierung der Primärdokumentation entwickelt und in Aufnahmeeinrichtungen dreier Bundesländer implementiert. Der Ansatz des verteilten Rechnens in einem Surveillancenetzwerk ermöglicht durch dezentrale aber harmonisierte Analysen, die datenschutzkonforme Sekundärnutzung dieser medizinischen Routinedaten ohne zentrale Speicherung personenbezogener Informationen. Durch eine integrierte Monitoringfunktion können 64 Indikatoren zur Population, Morbidität sowie zu Versorgungsprozessen und -qualität routinemäßig und einrichtungsübergreifend ausgewertet werden. Der Beitrag beschreibt das konzeptionelle und praktische Vorgehen, das technische Verfahren sowie exemplarische Ergebnisse dieses Monitoringsystems.
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Der Bericht der Landesärztekammer Baden-Württemberg und der Landespsychotherapeutenkammer Baden-Württemberg thematisiert verschiedene Aspekte rund um die ambulante medizinische, psychosoziale und psychotherapeutische Versorgung von traumatisierten Geflüchteten in Baden-Württemberg.
Eine Studie des Deutschen Instituts für Wirtschaftsforschung e. V. (DIW Berlin) kommt zu dem Schluss, dass Geflüchtete in der Corona-Pandemie stark psychisch belastet sind und sich sehr einsam fühlen. Als Ursachen hierfür werden unter anderem fehlende soziale Teilhabe aufgrund von Sprachbarriere
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n, fehlende Erwerbstätigkeit und geringe Haushaltseinkommen genannt.
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Movimento Antivacina: a propagação de uma distopia que ameaça a saúde da população brasileira
Ana Cecília Gomes Rosa Luiz, Bruna Silveira Caixeta, Milena Ferreira Cruvinel et al.
Brazilian Journal of Health Review
(2021)
CC
A imunização deve ser entendida como um regulador no processo saúde-doençae é uma das formas mais seguras e eficazesde prevenir enfermidades edereduzir a propagação de doenças existentes. Apesar disso, omovimento antivacinação alcançou uma ascendênciamundial,fator que pode provocar conse
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quências desastrosas e moldar o percurso da doença e do cuidadona população. Dessa forma, o objetivo desta revisão literária é evidenciaros dados de cobertura vacinale discutir as razões pelas quais o movimento antivacina ocorreem um contexto de globalização e mídias sociais,bem como os impactos provocados na saúde brasileira.
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This summary assesses the current state of evidence on each approach in tabular form, providing: the definition and objectives; evidence of effectiveness; operational considerations (e.g., training, staffing, and logistics); cost considerations and evidence on cost-effectiveness; operational success
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es and challenges; and areas for future research and learning. This document is not intended to endorse any particular approach. Rather, it aims to objectively present the state of the existing evidence on each approach, so as to inform decision-making among practitioners looking to further test, refine and implement such approaches.
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