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Health Care Resource Utilization in Adults Living With Type 1 Diabetes Mellitus in the South African Public Health Sector: Protocol for a 1-Year Retrospective Analysis With a 5-, 10-, and 25-Year Pro
Bhana, S.; Naidoo, P.; Pillay, S.; et al.
Jornal of Medical Internet Research JMIR Publication Published on 13.2.2023 in Vol 12 (2023)
(2023)
CC
Type 1 diabetes mellitus (T1DM) is less common than type 2 diabetes mellitus but is increasing in frequency in South Africa. It tends to affect younger individuals, and upon diagnosis, exogenous insulin is essential for survival. In South Africa, the health care system is divided into private and pu
...
blic health care systems. The private system is well resourced, whereas the public sector, which treats more than 80% of the population, has minimal resources. There are currently no studies in South Africa, and Africa at large, that have evaluated the immediate and long-term costs of managing people living with T1DM in the public sector.
more
INTRODUCTION: Lower extremity peripheral artery disease (PAD) is increasing in prevalence in low- and middle-income countries creating a large health care burden. Clinical management may require substantial resources but little consideration has bee
...
n given to which treatments are appropriate for less advantaged countries.
EVIDENCE ACQUISITION: The aim of this review was to systematically appraise published data on the costs and effectiveness of PAD treatments used commonly in high-income countries, and for an international consensus panel to review that information and propose a hierarchy of treatments relevant to low- and middle-income countries.
EVIDENCE SYNTHESIS: Pharmacotherapy for intermittent claudication was found to be expensive and improve walking distance by a modest amount. Exercise and endovascular therapies were more effective and exercise the most cost-effective. For critical limb ischemia, bypass surgery and endovascular therapy, which are both resource intensive, resulted in similar rates of amputation-free survival. Substantial reductions in cardiovascular events occurred with use of low cost drugs (statins, ACE inhibitors, anti-platelets) and smoking cessation.
CONCLUSIONS: The panel concluded that, in low- and middle-income countries, cardiovascular prevention is a top priority, whereas a lower priority should be given to pharmacotherapy for leg symptoms and revascularisation, except in countries with established vascular units.
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Diabetes - Printable Poster & Tools
recommended
Printable Posters & Tools: Below are posters and tools you can use in your workplace to support people living with diabetes.
Download diabetes posters for your workplace - Handy tools to support people with diabetes - diabetes resources.
The website "Learning About Diabetes" provides easy-to-understand educational materials for people with diabetes and their families. It focuses on improving diabetes self-management through visually engaging resources, such as illustrated guides, vi
...
deos, and tools. The content covers topics like blood sugar monitoring, healthy eating, medication management, and lifestyle changes, making diabetes education accessible for all literacy levels. - Chinese documents
more
The website "Learning About Diabetes" provides easy-to-understand educational materials for people with diabetes and their families. It focuses on improving diabetes self-management through visually engaging resources, such as illustrated guides, vi
...
deos, and tools. The content covers topics like blood sugar monitoring, healthy eating, medication management, and lifestyle changes, making diabetes education accessible for all literacy levels. - Documents in hindi
more
The website "Learning About Diabetes" provides easy-to-understand educational materials for people with diabetes and their families. It focuses on improving diabetes self-management through visually engaging resources, such as illustrated guides, vi
...
deos, and tools. The content covers topics like blood sugar monitoring, healthy eating, medication management, and lifestyle changes, making diabetes education accessible for all literacy levels.
more
The risk of emergence and re-emergence of arboviruses with pandemic potential has increased as a global public health threat and will continue to do so in the years to come. The Global Arbovirus Initiative outlines an integrated approach across these viruses and disciplines that will enable optimal
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use of limited resources to achieve the greatest impact, particularly in areas with the heaviest arboviral burden and in areas that are at risk of emergence of arboviruses. Following a series of global consultations and review by the Technical Advisory Group on Arbovirus (TAG-Arbovirus), the Global Arbovirus Initiative and its 6 constituent pillars, each with strategic objectives and priority activities, are consolidated in this reference document.
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Community Capacity Building for Physical Activity Promotion among Older Adults—A Literature Review
Ubert, T.; Forberger, S.; Gansefort, D. et al.
International Journal of Environmental Research and Public Health
(2017)
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The document reviews strategies for community-based physical activity promotion among older adults, focusing on capacity-building approaches such as coalition building, professional training, raising awareness, and allocating resources. It highlight
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s the importance of community involvement to promote sustainable health behaviors but notes inconsistent results regarding the effectiveness of these strategies. More rigorous research is recommended to optimize community capacity-building efforts for older populations.
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Due to the heterogeneous distribution of malaria transmission and its determinants, subnational tailoring (SNT) provides an analytical framework to facilitate the targeting of each population with appropriate intervention packages for maximum impact to inform national strategic planning and prioriti
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zation based on resources available. The WHO Global Malaria Programme recommends the use of subnational data on disease epidemiology and other relevant local contextual factors to facilitate the process of SNT. Once the strategies and intervention mixes have been defined, programmes can proceed to the prioritization of
interventions for effective programming, based on available resources
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Non- Communicable Diseases (NCDs) over the years have not been given much attention in Ghana and in most Low and Middle- Income Countries (LMICs). The overwhelming burden of communicable diseases and the scarcity of resources has led to the health o
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f all residents in Ghana, NCDs still remain largely underfunded and less prioritized. Attempts in the past have achieved little success. The formulation of Ghana´s NCD policy in 2014 and the accompanying strategic plan is one such effort.
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Global Initiative for Chronic Obstructive Lungs Disease
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
(2024)
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The GOLD website is dedicated to providing comprehensive information on Chronic Obstructive Pulmonary Disease (COPD). It offers resources and guidelines for healthcare professionals and public health authorities to improve the diagnosis, management,
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and prevention of COPD worldwide. The site includes the latest reports, strategies, and updates on COPD research, emphasizing evidence-based practices for better patient outcomes. GOLD also provides educational materials, workshops, and support for implementing COPD care programs, aiming to raise global awareness and promote effective treatments for COPD.
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Lung health in Africa: challenges and opportunities in the context of COVID-19
Ozho, O.B.; Mbatchou Ngahane, B.H.; Zar, H.J.; et al.
American Journal of Physiology - Lung Cellular and Molecular Physiology
(2021)
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The article discusses the challenges and opportunities for lung health in Africa in the context of the COVID-19 pandemic. It highlights the strain on healthcare systems, the increase in chronic respiratory diseases like asthma and COPD, and the limited res
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ources for managing these conditions. The pandemic has exacerbated issues like delayed diagnosis and treatment, while also impacting child lung health and increasing risks for those with tuberculosis. It emphasizes the importance of leveraging global partnerships and strategies to improve healthcare infrastructure and response in Africa.
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Now that you have a basic understanding of COPD, you may have some
additional questions. In this 201 guide, we will move beyond the basics.
You will find information and resources for the treatment and management
of COPD, associated conditions, a
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nd even an action plan to help you avoid
exacerbations.
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COPD Health Professionals & Educators
Whether you are a healthcare professional, COPD educator or patient advocate, it is important to stay informed about COPD care, resources and support options.
Asthma guidelines indicate that the goal of treatment should be optimum asthma control. In a busy clinic practice with limited time and resources, there is need for a simple method for assessing asthma control with or without lung function testing.
As Russia's invasion of Ukraine progresses, the civilian population and the Armed Forces face enormous challenges. It is unsurprising that people's mental health deteriorate in such conditions. This Issue Brief provides publications and informative resourc
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es highlighting the impact on Mental Health.
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This Birth Defect Surveillance facilitator (train-the-trainer) guide 2nd edition covers foundational skills needed to begin the development, implementation and ongoing improvement of a congenital anomaly surveillance programme, whether population-based or hospital-based, in particular for countries
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with limited resources.
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Caring for burns patients from the incident scene to definitive treatment can be a complex, resource-consuming process with the potential to overwhelm health system capacity.This document provides practical guidance for building capacity and capability for burns care from clinical, human
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resources and operational perspectives. It is therefore recommended that guidance in this document be applied to any contexts in which the local health system might struggle to cope and require surge support.
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Technical Brief Workforce Development
recommended
The World Health Organization (WHO) projects a global shortfall of 18 million health workers by 2030, mostly in low- and lower-middle-income countries. Contributing to the global deficit are chronic under-investment in education and training of health workers; workforce migration; an aging health wo
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rkforce; rapid increases in chronic diseases; and inability to track existing human resources using health information systems. Health care worker shortages are compounded by the increased portability and virulence of infections. Rapid population growth, climate change, deforestation, international travel, migration, poverty, and social inequality have dramatically increased the risk of pandemics and highlighted the need for skilled health workforce to effectively respond to emerging health threats. This is evident now more than ever as COVID-19 exacerbates health inequity and barriers to access, and further strains the already fragile health systems in many countries.
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This video focuses on acknowledgement of the stresses and experience of CHWs and the importance of self-care. Healthful coping strategies and daily self-care practices are covered, including resources for support.
This video is part of our Support
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ing Vaccination Toolkit for Community Health Workers (CHWs). This free digital toolkit is designed to increase the self-efficacy and effectiveness of CHWs in conducting vaccine outreach in communities, ultimately increasing vaccination rates.
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