For the primary health worker in a low/middle-income country (LMIC) setting, delivering quality primary care is challenging. This is often complicated by clinical guidance that is out of date, inconsistent and informed by evidence from high-income countries that ignores LMIC resource constraints and... burden of disease. The Knowledge Translation Unit (KTU) of the University of Cape Town Lung Institute has developed, implemented and evaluated a health systems intervention in South Africa, and localised it to Botswana, Nigeria, Ethiopia and Brazil, that simplifies and standardises the care delivered by primary health workers while strengthening the system in which they work. At the core of this intervention, called Practical Approach to Care Kit (PACK), is a clinical decision support tool, the PACK guide. This paper describes the development of the guide over an 18-year period and explains the design features that have addressed what the patient, the clinician and the health system need from clinical guidance, and have made it, in the words of a South African primary care nurse, ‘A tool for every day for every patient’. It describes the lessons learnt during the development process that the KTU now applies to further development, maintenance and in-country localisation of the guide: develop clinical decision support in context first, involve local stakeholders in all stages, leverage others’ evidence databases to remain up to date and ensure content development, updating and localisation articulate with implementation.
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PLOSONE| https://doi.org/10.1371/journal.pone.0204882October17,2018
Results from studies evaluating the effectiveness of focused psychosocial support interventions in children exposed to traumatic events in humanitarian settings in low-income and middle-income countries have been inconsistent, showing varying results by setting and subgroup (eg, age or gender). We a...imed to assess the effectiveness of these interventions, and to explore which children are likely to benefit most.
Lancet Glob Health 2018; 6: e390–400
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This guide is strongly practice -oriented and intended as an open resource when replicating similar methods of psychosocial care in other projects. It describes the steps in the development of our pilot project
"Low threshold psychosocial support for refugees and asylum seekers’ in... Germany ", from the initial idea of the project to its practical implementation. It is to be understood as apractical report for transferring the working methods of MSF from project countries to the German context. A particular focus is the training and working methods of psychosocial peer counsellors. They are at the heart of our approach to low-
threshold psychosocial care
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Good practices in Mental Health and Well-being
Suicides take a high toll. Over 800 000 people die by suicide every year and it is the second leading cause of
death in 15-29-year-olds. Most suicides occur in low- and middle-income countries where resources
and services, if they do exist, are often scarce and limited for early identification, tr...eatment and support of
people in need. These striking facts and the lack of implemented timely interventions make suicide a serious
global public health problem that needs to be tackled urgently.
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Dieser 40-seitige Ratgeber richtet sich an geflüchtete und neuzugewanderte Männer und möchte helfen, die Orientierung in Deutschland bei Fragen zum Thema Gewalt zu erleichtern. Er möchte über die Schutz- und Unterstützungsmöglichkeiten informieren, sowie über Möglichkeiten, gewalttätiges V...erhalten bei sich selbst oder anderen zu erkennen und zu verringern. Die Themen des Ratgebers sind:
Formen zwischenmenschlicher Gewalt und Folgen für Betroffene
Der Einfluss von Werten und Normen auf Gewalthandeln
Wandel in der Einstellung zu Gewalt
Rechtliche Grundlagen und Gesetze in Deutschland
Psychologische Ursachen für gewaltsames Verhalten
Wege aus der Gewalt
Der Ratgeber wurde im Rahmen des bundesweiten Projekts „MiMi-Gewaltprävention mit Migrantinnen für Migrantinnen” entwickelt.
Er steht in 15 Sprachen zum Download zur Verfügung.
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World Drug Report 2018
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World Drug Report 2018
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World Drug Report 2018
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Guide for community-based management and care of people with dementia
Version 1.0
Mental Health and Substance Abuse
Division of NCD and Health through the Life-Course
World Health Organization Regional Office for the Western Pacific
This article provides an overview of the current and projected climate change risks and impacts to mental health and provides recommendations for priority actions to address the mental health consequences of climate change.
Recommendations, resources and references
A publication of the Southern African HIV Clinicians Society
Policy Brief
Consolidated Guidelines
Updated 2016
WHO/HIV/2017.05
Vreeman RC et al. Journal of the International AIDS Society 2017, 20(Suppl 3):21497 http://www.jiasociety.org/index.php/jias/article/view/21497 | http://dx.doi.org/10.7448/IAS.20.4.21497
Specifically the Strategy focuses on five strategic objectives:
commitment to action on Healthy Ageing in every country;
developing age-friendly environments;
aligning health systems to the needs of older populations;
developing sustainable and equitable systems for providing lon...g-term care (home, communities, institutions); and
improving measurement, monitoring and research on Healthy Ageing.
Available in Englisch, French, Arabic, Chinese, Russian, Spanish
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These guidelines aim to guide all health care providers in Myanmar, accommodating the situation of different settings in the context of progressive decentralization of HIV services. Notable changes from the previous edition include:
• diagnosis of HIV
• update on the initiation of ART<...br>
• new ARV drugs and regimens
• new recommendation on infant prophylaxis
• PrEP and PEP updates
• updates on co-infections and comorbidities management
It should be noted that these guidelines are meant for the operational level and are adapted and adopted in line with existing Myanmar context.
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We have long been working to prevent and end sexual violence in armed conflicts and to ensure that the countless victims – men, women, boys and girls – receive the help they need.
In this document, we examine sexual violence specifically in relation to people deprived of their liberty. We c...onsider why individuals are at risk of sexual violence in detention and how to prevent and reduce that risk. We also set out some potential steps to take when sexual violence occurs.
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