PLoS Medicine Vol. 6 no. 10 (2009) e1000165
Sexual and Reproductive Health
The purpose of this Operational Guideline is to support state health authorities, programme managers and health care professionals with recommendations on appropriate management of children with SAM in the health facilities. Facility based management includes setting up and managing within the healt...h facility premises, a functional space where these children are cared for. This Facility Based Unit is referred to as Nutritional Rehabilitation Centre or NRC in the document. While the scale and design may vary in a given situation, it is intended that the document provide the basis for a consistent set of principles that can be used by all states for facility based management of children with SAM. The Operational Guideline focuses on the Facility/Hospital based approach for the management of SAM children under 5 years of age based on the WHO and revised IAP protocols.
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NSP Review
Engaging with South Africa’s National Strategic Plan for HIV, STIs and TB Edition 7 July – August 2013
A publication of the Treatment Action Campaign and SECTION27
GeneXpert: An imperfect rollout
TB in South African prisons: Where to now?
Decentralising DR-TB care: How far alon...g are we?
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Este folleto presenta los datos sobre la mortalidad por ENT y la prevalencia de factores de riesgo de las ENT, para los países en la región de las Américas. Su contenido está enfocado en la agenda 5 x 5 de ENT que incluye las principals ENT (enfermedades cardiovasculares, cáncer, diabetes y enf...ermedades respiratorias crónicas) y la salud mental (suicidio); así como los principales factores de riesgo de ENT (consumo de tabaco, uso no civo del alcohol, dieta p oco s aludable, ac tividad física insuficiente) junto con la contaminación del aire. Incluye información sobre el número y porcentaje de muertes, tasas de mortalidad estandarizadas por edad, muerte prematura por ENT y la prevalencia de los principales factores de riesgo de las ENT.
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Capability and Performance
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.
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This manual aims to provide an overview of this subject to health care professionals, paramedics and other voluntary services involved in health care promotion