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Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Minja, N.W.; Nakagaayi, D.; Aliku, T. et al. Frontiers in Cardiovascular Medicine (2022) CC

In 2015, the United Nations set important targets to reduce premature cardiovascular disease (CVD) deaths by 33% by 2030. Africa disproportionately bears the brunt of CVD burden and has one of the highest risks of dying from non-communicable diseases (NCDs) worldwide. There is currently an epide...miological transition on the continent, where NCDs is projected to outpace communicable diseases within the current decade. Unchecked increases in CVD risk factors have contributed to the growing burden of three major CVDs—hypertension, cardiomyopathies, and atherosclerotic diseasesleading to devastating rates of stroke and heart failure. The highest age standardized disability-adjusted life years (DALYs) due to hypertensive heart disease (HHD) were recorded in Africa. The contributory causes of heart failure are changing—whilst HHD and cardiomyopathies still dominate, ischemic heart disease is rapidly becoming a significant contributor, whilst rheumatic heart disease (RHD) has shown a gradual decline. In a continent where health systems are traditionally geared toward addressing communicable diseases, several gaps exist to adequately meet the growing demand imposed by CVDs. Among these, high-quality research to inform interventions, underfunded health systems with high out-of-pocket costs, limited accessibility and affordability of essential medicines, CVD preventive services, and skill shortages. Overall, the African continent progress toward a third reduction in premature mortality come 2030 is lagging behind. More can be done in the arena of effective policy implementation for risk factor reduction and CVD prevention, increasing health financing and focusing on strengthening primary health care services for prevention and treatment of CVDs, whilst ensuring availability and affordability of quality medicines. Further, investing in systematic country data collection and research outputs will improve the accuracy of the burden of disease data and inform policy adoption on interventions. This review summarizes the current CVD burden, important gaps in cardiovascular medicine in Africa, and further highlights priority areas where efforts could be intensified in the next decade with potential to improve the current rate of progress toward achieving a 33% reduction in CVD mortality. more

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Enhancing Pharmacovigilance in Sub‑Saharan Africa Through Training and Mentoring: A GSK Pilot Initiative in Malawi

Jusot, V.; Chimimba, F.; Dzabala, N. et al. Drug Safety (2020) CC

Introduction Pharmacovigilance (PV) systems to monitor drug and vaccine safety are often inadequate in sub-Saharan Africa. In Malawi, a PV enhancement initiative was introduced to address major barriers to PV. Objective The objective of this initiative was to improve reporting of adverse events (A... more

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Recommendations for Establishing a National Maternal Near-miss Surveillance System in Latin America and the Caribbean

Pan American Health Organization (PAHO) (2022) C_WHO

Maternal mortality has fallen significantly in recent years, especially in countries that have emphasized the prevention of its main causes, such as hemorrhagic and infectious complications and hypertension , including in the Region of the Americas. In its final report on the Plan of Action to Accel... more

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Ethiopia - Multi-Sectorial Cholera Elimination Plan 2022 - 2028

Government of Ethiopia (2023) C2

The Ethiopia Multi-Sectorial Cholera Elimination Plan (2022-2028) outlines a national strategy to eliminate cholera in Ethiopia by 2028. The plan follows the Global Roadmap to End Cholera by 2030 and is based on six key pillars: Leadership & Coordination, Water, Sanitation & Hygiene (WASH), Surveill... more

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The Burden of Pediatric Asthma

Ferrante, G.; La Grutta, S. Frontiers in Pediatrics (2018) CC

Asthma is the most common chronic disease in children, imposing a consistent burden on health system. In recent years, prevalence of asthma symptoms became globally increased in children and adolescents, particularly in Low-Middle Income Countries (LMICs). Host (genetics, atopy) and environmental fa... more

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Water dilemmas: The cascading impacts of water insecurity in a heating world

Oxfam (2023) CC

Climate-induced water insecurity poses one of the biggest threats to humanity and will lead to more hunger, disease and displacement Oxfam water engineers are having to drill deeper, more expensive and harder-to-maintain water boreholes used by some of the poorest communities around the world, mo... more

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Situation and Response Analysis Report on Malaria in the SADC Region

Directorate of Social & Human Development & Special Programs SADC Secretariat (2025) C2

Malaria remains a significant public health concern in the SADC region, accounting for 20% of childhood deaths, as well as prompting numerous outpatient visits and hospitalisations. Around three-quarters of the population, including 35 million children under the age of five and 8.5 million pregnant ... more

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Best Practice Guidance for Mental Health Services

HSE Mental Health Service (2019) C1

Accessed April 25,2019

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WASH FIT manual for Trainers

World Health Organization WHO (2022) C_WHO

This manual for trainers outlines the information and materials required to undertake training in line with the WASH FIT Guide, including background documents, the content of the recommended training modules and training evaluation approaches. The modular approach outlined enables trainers to decide... more

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Guidelines for the Implementation of the SHA 2011 Framework for Accounting Health Care Financing

Organisation for Economic Co-operation and Development (OECD) and World Health Organization (WHO) Organisation for Economic Co-operation and Development (OECD) and World Health Organization (WHO) (2014) CC

The accounting framework for health care financing is a key component of A System of Health Accounts 2011, published by OECD, Eurostat and WHO in October 2011.1 The framework makes health accounts more adaptable to rapidly evolving health financing systems, further enhances crosscountry comparabilit... more

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РУКОВОДСТВО ПО НАЦИОНАЛЬНОЙ ПОЛИТИКЕ И СТРАТЕГИИ В ОБЛАСТИ КАЧЕСТВА

World Health Organization WHO (2018) C1

Практический подход к разработке политики и стратегии в целях повышения качества медицинской помощи

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Impact of COVID-19 on young people in the EU

Sándor, E.; Patrini, V.; M. Mascherini, et al. Eurofund (2022) C1

Following a long recovery from the economic crisis (2007–2013), young people in the EU proved to be more vulnerable to the effects of the restrictions put in place to slow the spread of the COVID-19 pandemic. Young people were more likely than older groups to experience job loss, financial insecur... more

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Educational equity for individuals with disabilities

Libby Cohen Commonwealth Education Partnerships (2009) C2

Education for respect and understanding – inclusion and equity

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Nepal: National Medicines Policy 2007

Ministry of Health, Government of Nepal (2007) C1

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A practical guide to auditing water safety plans

World Health Organization (WHO) (2016) C_WHO

The WHO/IWA document A practical guide to auditing water safety plans provides guidance on developing and implementing a WSP auditing scheme, covering such topics as the aim and role of auditing, auditor training and certification, audit criteria, audit timing and frequency and audit reportin... more

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Providing individualized peer support in mental health and related areas WHO QualityRights training to act, unite and empower for mental health (P I L O T V E R S I O N)

World Health Organization WHO (2017) C_WHO

This document has been developed to support countries develop and strengthen individualized peer support services in mental health and related areas. It addresses the provision of individualized peer support in the context of health services and the wider community.

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The fight against fake drugs by NAFDAC in Nigeria

The fight against fake drugs by NAFDAC in Nigeria Olike Chinwendu KIT (Royal Tropical Institute) Development Policy & Practice Vrije Universiteit Amsterdam (2008) CC

Review over the work and challenges of the Nigerian National Agency for Food and Drug Administration and Control (NAFDAC) in combatting counterfeiting of medicines in Nigeria.

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Plan de gestion de la sécurité sanitaire de l’eau: Guide pratique pour l’amélioration de la sécurité sanitaire de l’eau potable dans les petites communautés

Organisation mondiale de la Santé (OMS) (2017) C_WHO

Le présent guide pratique explique ce qu’est un plan de gestion de la sécurité sanitaire de l’eau (PGSSE) et de quelle manière celui-ci peut vous aider à renforcer la sécurité sanitaire de votre alimentation en eau potable, notamment par une amélioration progressive, étape par étape et... more

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Manuel de l’Utilisation Optimale du Sang

Optimal Blood Use Project (2010) CC

La sécurité du traitement hospitalier et la réalité des soins sont des préoccupations majeures dans les systèmes de santé. La transfusion sanguine a fait l’objet de procédures juridiques et d’études au Canada, en Angleterre, en France, en Irlande et dans d’autres pays. Il conviendr... more

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Saúde Mais Perto De Você – Acesso E Qualidade Programa Nacional De Melhoria Do Acesso E Da Qualidade Da Atenção BáSica (PMAQ)

Ministério da Saúde, Brasil (2014) CC

Manual Instrutivo