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Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso

Ouedraogo Y., Furlane G., Fruhauf T. et al. Global Health: Science and Practice (2018) CC

Background: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso wer...e limited to temporary screening campaigns. Program Description: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities. Women with larger lesions or lesions suspect for cancer were referred for loop electrosurgical excision procedure (LEEP). The program trained providers, raised awareness through demand generation activities, and strengthened monitoring capacity. Methods: Data on program activities, service provision, and programmatic lessons were analyzed. Three data collection tools, an individual client form, a client registry, and a monthly summary sheet, were used to track 3 key CECAP service indicators: number of women screened using VIA, proportion of women who screened VIA positive, and proportion of women screening VIA positive who received same-day cryotherapy. Results: Over 4 years, the program screened 13,999 women for cervical cancer using VIA; 8.9% screened positive; and 65.9% received cryotherapy in a single visit. The proportion receiving cryotherapy on the same day started at a high of 82% to 93% when services were provided free of charge, but dropped to 51% when a user fee of $10 was applied to cover the cost of supplies. After reducing the fee to $4 in November 2012, the proportion increased again to 78%. Implementation challenges included difficulties tracking referred patients, stock-outs of key supplies, difficulties with machine maintenance, and prohibitive user fees. Providers were trained to independently monitor services, identify gaps, and take corrective actions. Conclusions: Following dissemination of the results that demonstrated the acceptability and feasibility of the CECAP program, the Burkina Faso Ministry of Health included CECAP services in its minimum service delivery package in 2016. Essential components for such programs include provider training on VIA, cryotherapy, and LEEP; provider and patient demand generation; local equipment maintenance; consistent supply stocks; referral system for LEEP; non-prohibitive fees; and a monitoring data collection system. more

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National Guidelines for Integrated Diseases Surveillance and Response Uganda

World Health Organization WHO, Regional Office of Africa; Ministry of Health Uganda (2021) C_WHO

3rd edition. In 2001, Uganda adapted the Integrated Disease Surveillance and Response (IDSR) developed by World Health Organization (WHO) for member states in African region. The Ministry of Health has been implementing the IDSR strategy since then with success across the country. This strategy prov... more

Capacity Building for Nurses’ Knowledge and Practice Regarding Prevention of Diabetic Foot Complications

Abdullah, W.H.; Al Senany, S.; Al-Otheimin, H. K. (2017) CC2

Diabetic foot ulcers are a complication affecting approximately 15% of the total population with diabetes mellitus. There are three and half million diabetic patients in Saudi Arabia alone. Aim: to determine capacity building for nurses’ knowledge and practice regarding prevention of diabetic foot... more

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National Toxic Substance Incidents Program (NTSIP) Webinars

Agency for Toxic Substances and Disease Registry (2015)

On this homepage of the ATSDR you'll find learning material for webinars on chemical exposure assessment focused on the US, including: - Webinar on ATSDR Assessment of Chemical Exposures (ACE) Program -ATSDR National Toxic Substance Incidents Program (NTSIP) and the CDC Public Health Emergency Pre... more

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Maternal Care

Perinatal Education Programme EBW Healthcare (2020) C1

A health professional's guide to pregnancy and childbirth. Online learning programme

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HIV – bekämpft, aber nicht besiegt.

BUKO Pharma-Kampagne (2020) CC

Dieser E-Learning-Kurs verschafft Ihnen durch informative Texte, anschauliche Fallbeispiele und nützliche Links einen umfassenden Überblick zu den aktuellen Herausforderungen der globalen Arbeit gegen HIV/Aids. Der Schwerpunkt liegt dabei auf dem globalen Süden. Praktische Hilfestellungen für Ih... more

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Safe use of personal protective equipment in the treatment of infectious diseases of high consequence

European Centre for Disease Prevention and Control (2014) C1

A tutorial for trainers in healthcare settings Version 2: 2 Dec 2014 "The document focuses on an extended set of PPE components, which includes goggles, respirators, gloves, coveralls and footwear. Used properly, these PPE components can provide effective protection even from airborne transmissi... more

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Manual of Mental Health for Psychologists

Uday K. Sinha, Devvarta Kumar, Naveen Grover, Jai Prakash, Gouri Shankar Kaloiya National Health Ministry for Health and Family Welfare; Ministry of Health and Family Welfare, India; WHO (2016) C1

For Mental Health Service Delivery under National Mental Health Programme

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A Toolkit for integrating menstrual hygiene management (MHM) into humanitarian response

r2hc Reserach for Health in Humanitarian Crisis; Elrha; et al. (2017) C1

In many humanitarian emergencies, there is a serious lack of access to even the most basic materials needed for managing the blood in addition to a lack of appropriate sanitation facilities (including water), which are critical for addressing menstrual hygiene. Privacy in emergencies is often scarc... more

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Ethiopian Guide to Clinical Nutrition Care for Children and Adults with HIV. Trainees Manual

Federal Democratic Republic of Ethiopia, Ministry of Health (2008) C1

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Maternal and Infant Dosing Charts for PMTCT (Option B+)

Ministry of Health and Social Welfare, Tanzania (2013) C1

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Stayin’ Alive! First aid in Emergency

E-Learning Development Fund coursera (2021) CC

This course introduces the basic actions that should be performed by eyewitnesses right at an emergency scene. The course consists of 5 blocks: a) first aid for heart arrest (Cardiopulmonary resuscitation) b) first aid for airway obstruction and drowning c) first aid for bleeding, injuries, trauma d... more

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Course 1: Clinical management of patients with COVID-19 - General considerations

Open WHO; World Health Organization WHO (2020) C_WHO

The Clinical Management of Patients with COVID-19 course series is developed for healthcare workers during the COVID-19 pandemic. The course provides crucial knowledge necessary to provide safe, effective quality patient care. Presentations address all aspects of clinical management, including facil... more

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MODULE 3 Les Premiers Secours Psychologiques aux enfants

The International Federation of Red Cross and Red Crescent Societies IFRC (2018) C2

Il vise à permettre aux participants de d'en savoir plus sur les réactions des enfants à la détresse de savoir ce que sont les premiers secours psychologiques pour les enfants et ce qu'ils ne sont pas de comprendre les trois principes d'action "Regarder, Écouter et Relier" en r... more

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Auf der Flucht. Ein Planspiel vom Fliehen und Ankommen

Silva, M.; and L. Artmann (2019) CC

In dem Planspiel schlüpfen die Seminarteilnehmer*innen in die Rolle von Fluchthelfer*innen, Beamten und Geflüchteten, die aus unterschiedlichen Gründen nach Europa fliehen. Die Teilnehmer*innen müssen sich dabei aktiv einbringen und auch selbst entscheiden, beispielsweise, welche Habseligkeiten ... more

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ipso cultural context

Malteser International, Ipso (2019) CC

Weiterbildungsmöglichkeit zum psychosozialen Beratern um Geflüchtete zu beraten. ie Malteser Werke und die Ipso gGmbH (International Psychosocial Organisation) freuen sich, mit einem neuen Kooperationsprojekt ab November 2018 gemeinsam die psychosoziale Versorgung von Geflüchteten und MigrantInn... more

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ORB mPowering

mPowering Health (2016) CC

Connecting Frontline Health Workers to resources and each other to expand their knowledge, organize content into courses, and share their learning with the community. ORB offers frontline health workers and trainers access to quality assured openly licensed content that can be used on mobile device... more

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Safer Anaesthesia From EducationPaediatric Anaesthesia CourseMasaka, Uganda

Uganda Society of AnaesthesiaAssociation of Anaesthetists of Great Britain and IrelandWorld Federation of Societies of Anaesthesiologists (2014) C1

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La prise en charge psychologique et sociale, définitions et concepts clés

Cherabi, K. (2010) C1

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Brève introduction aux premiers secours psychologiques

The International Federation of Red Cross and Red Crescent Societies IFRC (2018) C2

Les premiers secours psychologiques sont un moyen simple, mais efficace, d'aider une personne en détresse. Ils consistent à prêter attention aux réactions de la personne, à l'écouter activement et, le cas échéant, à lui apporter une aide pratique pour l'aider à résoudre ses problèmes imm... more