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BMJ Open Science 2021;5:e100202. doi:10.1136/
bmjos-2021-100202
The Arab region in the Middle East and North Africa (MENA) represents a substantial area of the terrestrial landmass encompassing several countries and ecosystems. This area is generally drier and warmer compared to the rest of the world and has extreme resource limitations that are highly vulnerabl
...
e to a changing climate, geopolitical instability and land degradation (Slimani & Aidoud, 2004). Agriculture (crops and livestock) is a critical source of employment and a potential option for engaging rural youth. However, environmental degradation coupled with declining and variable agricultural productivity may pose a massive challenge already beset by instability and declining oil reserves (Tagliapietra, 2017). The Arab region is also subjected to short and long-duration climate extreme events, and the overall impact of their cascading effects on ecosystems, societies and economies is still an open question. Climate change, along with post-war geopolitical complexities, has greatly affected the Arab region in terms of its economy and social balance. Climate change has penetrating effects on the region’s agriculture sector and hence its economy. These are mainly manifested via changes in water resources and extreme weather conditions such as heatwaves and a drastic decline in precipitation.
more
Preventive chemotherapy with praziquantel (PZQ) is the cornerstone of schistosomiasis control. However, a single dose of PZQ (40 mg/kg) does not cure all infections. Repeated doses of PZQ at short intervals might increase efficacy in terms of cure rate (CR) and intensity reduction rate (IRR). Here,
...
we determined the efficacy of a single versus four repeated treatments with PZQ on Schistosoma mansoni infection in school-aged children from Côte d'Ivoire, using two different diagnostic tests.
more
This article summarises the process involved in developing the updated guideline and includes an infographic to highlight key IPC recommendations from the guideline, following the patient care pathway from the community to a healthcare facility to discharge.
Nature communications, 16, 906 (2025). https://doi.org/10.1038/s41467-025-56116-1
Document on key points needed to design, manage, deliver and evaluate training
You can also find a spanish and french version here: http://reprolineplus.org/resources/training-works-what-you-need-know-about-managing-designing-delivering-and-evaluating-group
Vitamin A deficiency is a risk factor for blindness and for mortality from measles and diarrhoea in children aged 6–59 months. We aimed to estimate trends in the prevalence of vitamin A defi ciency between 1991 and 2013 and its mortality burden in low-income and middle-income countries.
Who wants to work in a rural health post? The role of intrinsic motivation, rural background and faith-based institutions in Ethiopia and Rwanda
Serneels, P., Montalvo, J.G., Pettersson, G., et al.
Bulletin of the World Health Organization
(2010)
C_WHO
This paper examines the extent to which health workers differ in their willingness to work in rural areas and the reasons for these differences, based on the data collected in Rwanda analysed individually and in combination with data from Ethiopia.
...
more
Des efforts considérables ont été menés pour apporter aux
populations rurales du continent africain des soins de base. Mais
la qualité de ces soins reste aujourd’hui peu satisfaisante car le
médecin généraliste est le plus souvent absent en première
ligne. Cette situation est paradoxa
...
le en regard du nombre de
médecins formés dans les facultés en Afrique francophone et à
Madagascar. Le déficit en médecin généraliste, exerçant dans les
zones rurales, reste particulièrement préoccupant alors que
les jeunes médecins sans emploi se multiplient dans les villes.
L’ONG Santé Sud, depuis plus de vingt ans, propose un concept
– la médecine générale communautaire – qui, associé à un dispositif
d’accompagnement, a permis l’installation de plus de deux
cents médecins généralistes communautaires au Mali et à
Madagascar. Ce concept a pour intérêt d’associer, dans une même
pratique, la médecine de famille et les Soins de Santé Primaires.
S.F.S.P. | « Santé Publique »
2014/HS S1 | pages 59 à 65
Considerable effort has been made to provide rural African
populations with basic health care, but the quality of this care
remains unsatisfactory due to the absence of first-line GPs. This is
a paradoxical situation in view of the large number of physicians
trained in medical schools in French-speaking Africa and
Madagascar. of the lack of GPs working in rural areas is a real
concern, as many young doctors remain unemployed in cities.
For more than 20 years, the NGO Santé Sud has proposed a
Community General Medicine concept, which, combined with
a support system, has allowed the installation of more than
200 community GPs in Mali and Madagascar. The advantage of
this concept is that it provides family medicine and primary health
care in the same practice.
S.F.S.P. | « Santé Publique »
2014/HS S1 | pages 59 à 65
more
Introduction : de nos jours, face à la pénurie grandissante de
personnel de santé qualifié et face au défi de l’atteinte des
Objectifs du Millénaire pour le Développement, la participation
communautaire est devenue une réalité incontournable. Dans
la zone sanitaire Avrankou Adjarra Ak
...
pro-Missérété (3A) du
département de l’Ouémé, les relais sont appuyés par l’UNICEF
et l’ONG Africare. L’objectif de notre travail a été d’étudier
la qualité de l’apport des relais dans la mise en oeuvre de la
PCIME-Communautaire.
2014/2 Vol. 26 | pages 241 à 24 SFSP Santé Publique
Introduction: With the growing shortage of qualified healthcare
professionals and the challenge of achieving the Millennium
Development Goals, community participation has become an
essential reality. In the Avrankou Adjarra Akpro-Missérété (3A)
health zone of the Ouémé department, community volunteers are
supported by UNICEF and the NGO Africare. The objective of this
study was to assess the quality of the contribution of community
volunteers to implementation of community-based integrated
management of childhood illness (IMCI).
SFSP Santé Publique » 2014/2 Vol. 26 | pages 241 à 248
more
In many low- and middle-income countries, there is a wide gap between evidencebased recommendations and current practice. Treatment of major CVD risk factors remains suboptimal, and only a minority of patients who are treated reach their target levels for blood pressure, blood sugar and blood choles
...
terol.
In other areas, overtreatment can occur with the use of non-evidence-based
protocols. The aim of using standard treatment protocols is to improve the quality
of clinical care, reduce clinical variability and simplify the treatment options,
particularly in primary health care. Standard treatment protocols can be developed by preparing new national treatment guidelines or by adapting or adopting international guidelines.
The Evidence-based protocols module uses hypertension and diabetes screening
and treatment as an entry point to control cardiovascular risk factors, prevent target organ damage, and reduce premature morbidity and mortality. A comprehensive risk- based approach for integrated management of hypertension, diabetes, and high cholesterol is included in the Risk-based CVD management module.
This module includes clinical practice points and sample protocols for:
1. hypertension detection and treatment
2. type 2 diabetes detection and treatment
3. identifying basic emergencies – care and referral.
HEARTS emphasizes adaptation, dissemination, and use of a standardized set of
simple clinical-management protocols, which should be drug- and dose-specific,
and include a core set of medications. The simpler the protocols and management tools, the more likely they are to be used correctly, and the higher the likelihood that a programme will achieve its goals.
more
BMC Pregnancy Childbirth 20, 379 (2020). https://doi.org/10.1186/s12884-020-03064-x
n temps de crise, les femmes et les jeunes filles ont souvent du mal à satisfaire leurs besoins matériels essentiels. Elles manquent d'articles qui améliorent leur sécurité, facilitent l'hygiène de base, permettent l'accès aux services humanitaires et favorisent leur mobilité et leur présen
...
ce dans les espaces publics. Les femmes et les filles ont besoin d'articles de base pour se sentir à l'aise en public et maintenir leur hygiène personnelle, en particulier l'hygiène menstruelle. Sans accès à des vêtements et à des produits d'hygiène adaptés à leur culture, les femmes et les adolescentes courent un plus grand risque de violence liée au sexe, leur santé est compromise, leur mobilité est restreinte et elles risquent de s'isoler de plus en plus.
more
Oxford COVID-19 Evidence Service
Centre for Evidence-Based Medicine (CEBM); University of Oxford
Centre for Evidence-Based Medicine (CEBM); University of Oxford
(2020)
C2
Accessed: 24.03.2020
The CEBM has committed its skills and expertise in evidence synthesis and dissemination to the effort against the current COVID-19 pandemic. This page will be updated regularly.
This report describes findings from a telephone survey with 1,333 people conducted in February 2021. The survey examined how people respond to public health and social measures (PHSMs) to prevent COVID-19. The sample is representative of households with access to a landline or cell phone, but does n
...
ot include people without access to phones. As phone penetration aries by country, findings should be interpreted with caution.
more
