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4
Women and children, especially pregnant girls and women, infants and young children and postpartum women, are populations that are extremely vulnerable in emergencies. Breastfeeding provides children with hydration, comfort, connection, high quality nutrition and protection against disease, shieldin
...
g them from the worst of emergency conditions. This ability has been described as empowering and healing by some breastfeeding women.
more
While epidemiological data for type 1 diabetes (T1D) in low/middle-income countries, and particularly low-income countries (LICs) including Liberia is lacking, prevalence in LICs is thought to be increasing. T1D care in LICs is often impacted by challenges in diagnosis and management. These challeng
...
es, including misdiagnosis and access to insulin, can affect T1D outcomes and frequency of severe complications. Despite the severe nature of T1D and growing burden in subSaharan Africa, little is currently known about the impact of T1D on patients and caregivers in the region. Methods We conducted a qualitative study consisting of interviews with patients with T1D, caregivers, providers, civil society members and a policy-maker in Liberia to better understand the psychosocial and economic impact of living with T1D, knowledge of T1D and selfmanagement, and barriers and facilitators for accessing T1D care.
more
The document "Pocketbook for Management of Diabetes in Childhood and Adolescence in Under-Resourced Countries" (2nd Edition) provides practical guidelines for managing diabetes in children and adolescents, particularly in resource-limited settings. It covers key topics like diagnosing and treating d
...
iabetes, managing diabetic ketoacidosis (DKA), insulin therapy, blood glucose monitoring, nutritional management, and dealing with complications. The pocketbook aims to support healthcare professionals in delivering effective diabetes care and improving outcomes for young patients in under-resourced areas.
more
The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. To reach this goal in children with asthma, ongoing monitoring is essential. While all components of asthma, such as symptoms, lung function, bronchial hyperresponsiveness and inflammation, may exist i
...
n various combinations in different individuals, to date there is limited evidence on how to integrate these for optimal monitoring of children with asthma. The aims of this ERS Task Force were to describe the current practise and give an overview of the best available evidence on how to monitor children with asthma.
22 clinical and research experts reviewed the literature. A modified Delphi method and four Task Force meetings were used to reach a consensus.
This statement summarises the literature on monitoring children with asthma. Available tools for monitoring children with asthma, such as clinical tools, lung function, bronchial responsiveness and inflammatory markers, are described as are the ways in which they may be used in children with asthma. Management-related issues, comorbidities and environmental factors are summarised.
Despite considerable interest in monitoring asthma in children, for many aspects of monitoring asthma in children there is a substantial lack of evidence.
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This status report shows how far we have come—and how much further we must go—if we hope to meet the global commitments to end AIDS in children. It offers a snapshot of global progress and permits an early assessment of the impact of the Global Alliance’s work.
Asthma is the most common non-communicable disease in children and remains one of the most common throughout the life course. The great majority of the burden of this disease is seen in low-income and middle-income countries (LMICs), which have disproportionately high asthma-related mortality relati
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ve to asthma prevalence. This is particularly true for many countries in sub-Saharan Africa. Although inhaled asthma treatments (particularly those containing inhaled corticosteroids) markedly reduce asthma morbidity and mortality, a substantial proportion of the children, adolescents, and adults with asthma in LMICs do not get to benefit from these, due to poor availability and affordability. In this review, we consider the reality faced by clinicians managing asthma in the primary and secondary care in sub-Saharan Africa and suggest how we might go about making diagnosis and treatment decisions in a range of resource-constrained scenarios. We also provide recommendations for research and policy, to help bridge the gap between current practice in sub-Saharan Africa and Global Initiative for Asthma (GINA) recommended diagnostic processes and treatment for children, adolescents, and adults with asthma.
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Asthma is the most common chronic condition in children worldwide. It affects daytime activities, sleep and school attendance and causes anxiety to parents, families and other carers. The quality of asthma diagnosis and management globally still needs substantial improvement. From infancy to the tee
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nage years, there are age-specific challenges, including both underdiagnosis and overdiagnosis with stigma-related barriers to treatment in some cultures and in adolescents. The Paediatric Asthma Project Plan has been initiated to strengthen diagnosis and management of asthma. This encompasses a vision for the next 10–15 years, building on the knowledge and experience from previous educational projects. It will take into account the educational needs of patients, carers and healthcare professionals as well as the accessibility and affordability of medication, particularly in low and middle-income countries where the prevalence of asthma is rising more rapidly. This overview presents a first step for those involved in the diagnosis and management of childhood asthma to strengthen care for children globally.
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BMC Infectious Diseases volume 23, Article number: 342 (2023).
Tuberculosis (TB) is among the leading causes of death globally. The disease has a huge burden in Namibia, with a case notification rate of at least 442 per 100,000. To date, Namibia is among the countries with the highest global TB bur
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den, despite all efforts to reduce it. This study aimed to determine the factors associated with the unsuccessful treatment outcomes of the Directly Observed Therapy Short course (DOTS) programme in the Kunene and Oshana regions.
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Renforcement de la surveillance et du partage d’informations à l’échelle transfrontalière en Afrique
Le document intitulé « Strategic Framework for Strengthening Cross-Border Surveillance and Information Sharing in Africa » présente une stratégie coordonnée élaborée par Africa CDC afin d’améliorer la surveillance de la santé publique et la collaboration au-delà des frontières national
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es en Afrique. Il met en évidence le défi posé par le fait que les maladies infectieuses se propagent fréquemment au-delà des frontières en raison des mouvements de population, du commerce et des migrations, tandis que les systèmes de surveillance et les mécanismes de partage des données restent souvent centrés sur le niveau national et fragmentés.
Le cadre stratégique propose de renforcer la coordination régionale, d’harmoniser les systèmes de surveillance, d’améliorer le partage d’informations entre les pays et de développer les capacités des laboratoires ainsi que des ressources humaines. Il souligne également l’importance de la détection rapide des menaces sanitaires transfrontalières, des enquêtes conjointes sur les flambées épidémiques et d’une meilleure communication entre les États membres. Dans l’ensemble, le document vise à renforcer la préparation, les systèmes d’alerte précoce et la réponse collective aux menaces de santé publique sur le continent africain.
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The text explains the concept of disaster preparedness and outlines how societies can better prepare for and respond to emergencies. It describes key components such as risk assessment, planning, resource management, warning systems, and training, emphasizing that effective preparedness requires coo
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rdination between institutions, communities, and individuals. The text also highlights the importance of early warning systems, showing that not only technical accuracy but also clear communication and community response are crucial. Overall, it argues that disaster preparedness is an ongoing process that combines planning, capacity building, and practical measures to reduce risks and improve emergency response.
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Le document présente un cadre stratégique de l’Organisation mondiale de la Santé pour la gestion des risques liés aux situations d’urgence et aux catastrophes dans le domaine de la santé. Il met en évidence que ces événements (comme les épidémies, les catastrophes naturelles ou les con
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flits) ont des impacts majeurs sur la santé, les systèmes de soins et le développement des sociétés. Le cadre propose une approche globale et proactive fondée sur la prévention, la préparation, la réponse et le relèvement, tout en soulignant l’importance de la collaboration entre différents secteurs et acteurs. L’objectif principal est de réduire les risques sanitaires, de renforcer la résilience des communautés et des systèmes de santé, et d’améliorer la sécurité sanitaire à l’échelle mondiale.
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L'objectif est de veiller à ce que les IPNS soient non seulement présents dans chaque État membre, mais qu'ils disposent également des cadres juridiques, des ressources et de l'expertise r à la réalisation de cet objectif, l'Africa CDC a élaboré un Plan de développement des instituts nation
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aux de santé publique en Afrique 2025-2027. L'objectif nécessaires pour mener efficacement les efforts de sécurité sanitaire en Afrique.
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Flambées de choléra
recommended
Le document fournit des directives complètes pour la gestion des flambées de choléra, y compris la détection, la confirmation, la réponse, le traitement et la prévention. Il met l'accent sur l'importance de la réhydratation, de l'assainissement de l'eau, de la promotion de l'hygiène et de la
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mobilisation communautaire pour limiter la propagation. Ce guide est conçu pour les professionnels de la santé et les autorités publiques afin d'assurer une réponse efficace et coordonnée.
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The document "Chronic Respiratory Diseases: A Handbook for Pharmacists" outlines the significant role pharmacists play in managing asthma and COPD, emphasizing patient education, disease prevention, medication management, and promoting healthy lifestyles. It highlights the importance of pharmacists
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in supporting early detection, adherence to treatment, smoking cessation, and interprofessional collaboration to enhance respiratory care and outcomes.
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Guide to revision of national pandemic influenza preparedness plans - Lessons learned from the 2009 A(H1N1) pandemic
Brown C., Ciotti M., Hegermann-Lindencrone M., et al
European Centre for Disease Prevention and Control (ECDC), WHO Regional Office for Europe
(2017)
C_WHO
The document “Guide to revision of national pandemic influenza preparedness plans – Lessons learned from the 2009 A(H1N1) pandemic” provides guidance for countries on how to improve and update their national pandemic preparedness plans. It is based on lessons learned from the 2009 influenza pa
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ndemic and aims to help governments strengthen their readiness for future pandemics. The report outlines key components of effective pandemic planning, including risk assessment, coordination between sectors, communication strategies, healthcare system preparedness, vaccination and antiviral strategies, and business continuity planning. It also emphasizes the importance of international cooperation and flexible planning that can adapt to different pandemic scenarios. Overall, the guide serves as a framework to support countries in developing stronger, more coordinated responses to future influenza pandemics.
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En s’appuyant sur les ODD et sur la Stratégie mondiale, ainsi que sur la Convention relative aux droits de l’enfant (CRC) et sur la Convention sur l’élimination de toutes les formes de discrimination à l’égard des femmes (CEDAW ), l’UNICEF imagine un monde où aucun enfant ne décède
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de maladies évitables, et où chacun d’entre eux réalise pleinement son potentiel sur le plan de la santé et du bien-être. Pour les cinq premières années (2016-20), la Stratégie de l’UNICEF en matière de santé (ci-après dénommée «la Stratégie») fixe deux grands objectifs :
1. Mettre fin aux décès évitables de mères, de nouveau-nés et d’enfants;
2. Promouvoir la santé et le développement de tous les enfants.
Pour atteindre ces objectifs, la Stratégie prend en considération les besoins des enfants en matière de santé à tous les stades de la vie. more
1. Mettre fin aux décès évitables de mères, de nouveau-nés et d’enfants;
2. Promouvoir la santé et le développement de tous les enfants.
Pour atteindre ces objectifs, la Stratégie prend en considération les besoins des enfants en matière de santé à tous les stades de la vie. more
Évaluation du programme burkinabé dans les districts de Kaya et de Zorgho
Objectif. L’objectif central de cette thèse est d’évaluer, dans des conditions réelles d’implantation, les effets du programme burkinabé de prise en charge communautaire du paludisme sur le recours aux soins de
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s enfants fébriles. Les objectifs spécifiques sont : (1) de sonder les perceptions des ASC à l’égard du programme et explorer les facteurs contextuels susceptibles d’affecter leur performance ; (2) d’estimer le recours aux ASC par les enfants fébriles et identifier ses déterminants ; (3) de mesurer, auprès des enfants fébriles, le changement des pratiques de recours aux soins induit par l’introduction d’une intervention concomitante – la gratuité des soins dans les centres de santé.
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