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Equity of resource flows for reproductive, maternal, newborn, and child health: are those most in need being left behind?

Martinez-Alvarez, M.; F. Federspiel; N. Singh et al. British Medical Journal (BMJ) (2020) CC

Since 2002 the distribution of external funding to reproductive, maternal, newborn, and child health (RMNCH) has become more equitable and better targeted at the poorest countries and those experiencing the highest mortality. The aid envelope is not large enough or well enough concentrated to close ... more

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Immunological Interactions of Tuberculosis with Drugs and Substance Use: A Systematic Review and Update

N. G. Kiobi, S. N. Nebere, J. K. Karanja (2016) CC

Journal of Pulmonary & Respiratory Medicine 6: 326. doi:10.4172/2161-105X.1000326

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IACAPAP Textbook of Child and Adolescent Mental Health - Section A Introduction to child & adolescent mental health

Adrian Sondheimer; Joseph M Rey IACAPAP (2012) C2

Introduction Capter A.1 Ethics and international child and adolescent psychiatry

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Cardiovascular Diseases in Sub-Saharan Africa Compared to High-Income Countries: An Epidemiological Perspective

Yuyun, M.F.; Sliwa, K.; Kengne, A.P. et al. Global Heart (2020) CC

Non-communicable diseases (NCDs) are the second common cause of death in sub-Saharan Africa (SSA) accounting for about 35% of all deaths, after a composite of communicable, maternal, neonatal, and nutritional diseases. Despite prior perception of low NCDs mortality rates, current evidence suggests t... more

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An ethical framework for global vaccine allocation

Emanuel, E.J., et al. (2020) C1

Science . 2020 Sep 11;369(6509):1309-1312. doi: 10.1126/science.abe2803. Epub 2020 Sep 3. The Fair Priority Model offers a practical way to fulfill pledges to distribute vaccines fairly and equitably

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An investigation of barriers to the use of the World Health Organization Surgical Safety Checklist in theatres

Verwey and Gopalan South Africa Med. J. (2018) CC

This editorial will consider the often heralded and sometimes belittled Surgical Safety Checklist (SSCL) for its general benefits, potential utility, and range of evidence attesting to its value in quality and safety improvement.

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Desarrollo de guías de práctica clínica basadas en evidencia en Perú desde el sector público

García-Mostajo, J.A.; Alva-Díaz, C.; Suárez, V.; et al. (2017) CC

Acta Med Peru. 2017;34(3):203-7 En el Perú, la elaboración de guías de práctica clínica tiene exigencia normativa desde el año 2005; sin embargo, su desarrollo ha ténido poco énfasis en la calidad metodológica de las mismas, prefiriendo el tipo narrativo. Desde hace varios años se realiz... more

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Plantes médicinales et pratiques médicales au Burkina Faso : cas des Sanan

Zerbo P., J. Millogo-Rasolodimby, O. G.Nacoulma-Ouedraogo Bois et forêts des tropiques (2011) C2

Élément culturel important, les plantes ont été utilisées pendant des siècles par les populations pour se soigner. Cependant, peu d’ethnies connaissent leur pharmacopée de par le manque d’études ethnobotaniques. La présente étude, réalisée en pays San, entité territoriale traditionn... more

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The role of community health workers in the re-engineering of primary health care in rural Eastern Cape

Karl le Roux, Ingrid M le Roux, Nokwanele Mbewu & Emily Davis South African Family Practice (2015) CC

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Dolutegravir Resistance in Malawi’s National HIV Treatment Program

van Ossterhout, J. J.; Chipungu, C.; Nkhoma, L. et all. (2022) CC2

Dolutegravir HIV drug resistance (HIVDR) data from Africa remain sparse. We reviewed HIVDR results of Malawians on dolutegravir-based antiretroviral therapy (November 2020– September 2021). Of 6462 eligible clients, 33 samples were submitted to South Africa, 27 were sequenced successfully, and 8 ... more

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HIV and tuberculosis co-infection among migrants in Europe: A systematic review on the prevalence, incidence and mortality

A. M. Tavares; I. Fronteira; I. Couto; et al. PLOS One; PMC (2017) CC

PLOS ONE | https://doi.org/10.1371/journal.pone.0185526 September 28, 2017 Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Lisboa, Portugal

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Qualitative assessment of community health workers’ perspective on their motivation in community-based primary health care in rural Malawi

Ndambo, M.K.; Munyaneza, F.; Aron, M.B. et al. BMC Health Services Research (2022) CC

Background: Community Health Workers (CHWs) have a positive impact on the provision of community-based primary health care through screening, treatment, referral, psychosocial support, and accompaniment. With a broad scope of work, CHW programs must balance the breadth and depth of tasks to mainta...in CHW motivation for high-quality care delivery. Few studies have described the CHW perspective on intrinsic and extrinsic motivation to enhance their programmatic activities. Methods: We utilized an exploratory qualitative study design with CHWs employed in the household model in Neno District, Malawi, to explore their perspectives on intrinsic and extrinsic motivators and dissatisfiers in their work. Data was collected in 8 focus group discussions with 90 CHWs in October 2018 and March–April 2019 in seven purposively selected catchment areas. All interviews were audiotaped, transcribed verbatim, coded, and analyzed using Dedoose. Results: Themes of complex intrinsic and extrinsic factors were generated from the perspectives of the CHWs in the focus group discussions. Study results indicate that enabling factors are primarily intrinsic factors such as positive patient outcomes, community respect, and recognition by the formal health care system but can lead to the chal- lenge of increased scope and workload. Extrinsic factors can provide challenges, including an increased scope and workload from original expectations, lack of resources to utilize in their work, and rugged geography. However, a posi- tive work environment through supportive relationships between CHWs and supervisors enables the CHWs. Conclusion: This study demonstrated enabling factors and challenges for CHW performance from their perspec- tive within the dual-factor theory. We can mitigate challenges through focused efforts to limit geographical distance, manage workload, and strengthen CHW support to reinforce their recognition and trust. Such programmatic empha- sis can focus on enhancing motivational factors found in this study to improve the CHWs’ experience in their role. The engagement of CHWs, the communities, and the formal health care system is critical to improving the care provided to the patients and communities, along with building supportive systems to recognize the work done by CHWs for the primary health care systems. more

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Considering climate and conflict conditions together to improve interventions that prevent child acute malnutrition

Brown, M.E.; Grace, K.; Billing T.; et al. (2021) C1

Lancet Planet Health 2021; 5: e654–58

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Catastrophic Health Expenditures and Impoverishment in Kenya

Kimani D., Mugo M., Kioko U. et al. School of Economics, University of Nairobi (2016) C1

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Formulation and Stability of a 1% Clarithromycin-Based Topical Skin Cream: A New Option to Treat Buruli Ulcers?

Sebti, M.; et al. (2024) CC

Pharmaceuticals 2024, 17(6), 691; https://doi.org/10.3390/ph17060691

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Include us in education! A qualitative research study on barriers and enablers to education for children with disabilities in Nepal

Zuurmond, M., L.M. Banks, P. Aryal, et al. London School of Hygiene and Tropical Medicine, International Centre for Evidence in Disability, Plan International (2014) C1

A 2013 Plan study across 30 countries found that children with disabilities were on average 10 times less likely to go to school than children without disabilities. This report presents the findings of a follow-up second phase to the research with a qualitative study on barriers and enablers to educ... more

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Infection prevention, control and surveillance: Limiting the development and spread of drug-resistance

O’Neill, J. Review on Antimicrobial Resistance (2016) C1

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The impact of training on self-reported performance in reproductive, maternal, and newborn health service delivery among healthcare workers in Tanzania: a baseline- and endline-survey

Tumbwene, M.; Mbekenga, C.; Isangula, K.; et al. (2022) CC2

Reprod Health 19, 143 (2022). https://doi.org/10.1186/s12978-022-01452-4. Delivery of quality reproductive health services has been documented to depend on the availability of healthcare workers who are adequately supported with appropriate training. However, unmet training needs among healthcare ... more

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The cost of inaction on health equity and its social determinants

Yerramilli P., Chopra M., Rasanathan K. BMJ Global Health (2024) CC

Rising levels of inflation, debt and macrofiscal tightening are putting expenditures on the social sectors including health under immense scrutiny. Already, there are worrying signs of reductions in social sector investments. However, even before the pandemic, evidence showed the significant returns... more

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Buruli ulcer: wound care and rehabilitation

Frimpong, M.; F. S.Sarfo, M. Sarpong Duah, et al. Dove Medical Press Limited (2016) C1

Buruli ulcer caused by Mycobacterium ulcerans is a neglected tropical disease characterized by extensive ulceration involving predominantly the upper and lower limbs of patients. The disease is common in rural tropical communities in West and Central Africa, where access to proper health care is lim... more