La présente analyse du projet HPP a pour objectifs spécifiques de documenter (1) les sources d’approvisionnement existantes des contraceptifs ; (2) l’implication des agents par catégorie dans la proposition de médicaments et de contraceptifs ; (3) les politiques et les directives actuelles d...u gouvernement concernant la distribution des contraceptifs et (4) les suggestions des participants pour améliorer le partage des tâches des services de planification familiale à base communautaire et les produits de PF.
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Externalizing disorders
Chapter D.1
Attention deficit hyperactivity disorder
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.
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This guide provides a systematic, practical approach to support primary care and other healthcare professionals to improve the care of peopel over the age of 18 years with difficult to manage asthma.
Asthma is the most common noncommunicable disease in children, and among the most common in adults. According to the most recent estimates from the Global Asthma Network Phase I study, around one in 10 children and adults have symptoms of asthma and one in 20 school-aged children have severe asthma ...symptoms, with marked variations in prevalence and in prevalence trends between countries and regions of the world. The Global Burden of Disease Study estimated that asthma caused the loss of 21.6 million healthy years of life (disability-adjusted life years) and 461 069 deaths in 2019. Approximately 90% of the asthma burden of disease is borne by people living low and middle income countries (LMICs). Some countries report very high (up to 90%) rates of uncontrolled asthma. While the prevalence of asthma is highest in countries with a high Socio-Demographic Index (SDI), death rates from asthma are highest in countries with low and lower middle incomes.
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The COVID-19 pandemic has raised profound ethical challenges on an unprecedented global scale. These challenges include how to allocate scarce resources (especially vaccines and therapeutics), both within and between countries, whether and when to mandate vaccines and/or masks, whether and how to co...nduct public health surveillance, whether to issue vaccine passports, and how to address stark international and intranational inequities. In addition, there have been ethical concerns about the conduct of COVID-19 research, such as the appropriateness of challenge studies.
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Усиление мер реагированиясистем здравоохранения на COVID-19: техническое руководство No 5: адаптация первичной медико-санитарной помощи для повышения эффективности о...ветных мер в связи с COVID-19 (17 июня 2020 г.)
Strengthening the health systems response to COVID-19: technical guidance
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Male Circumcision as an HIV Prevention Method
Accessed: 02.03.2020
Данное руководство представляет собой попытку объединения проверенных универсальных подходов к оказанию психологической и психиатрической помощи в чрезвыча...ных ситуациях с одной сто-роны, и необходимость учета факторов, специфичных для каждой отдельной культуры, с другой.
Accessed on 2019
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Vanquishing violence and vulnerability in humanitarian settings
Background paper for the joint African Union–UNAIDS (in capacity of serving
Chair of H6) high-level side event at the 73rd United Nations General Assembly,
24 September 2018, at UNHQ, Conference Room 3
SAMJ Review Vol. 108 No.3
Universal health coverage ensures everyone has access to the health services they need without suffering financial hardship as a result. In December 2012, a UN resolution was passed encouraging governments to move towards providing universal access to affordable and quality health care services. As ...countries move towards it, common challenges are emerging -- challenges to which research can help provide answers.
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Цель: анализ уровня тревожности и тяжести депрессии у больных рассеянным склерозом. Материал и методы. Чтобы определить уровень депрессии и тревожности у больных ...С в зависимости от пола, возраста, течения, длительности заболевания, была отобрана группа пациентов с достоверным диагнозом Рассеянный склероз по критериям Ч.Позера, состоящая из 79 человек с длительностью заболевания более двух лет. Ис-пользовалась специально разработанная анкета, которая включала в себя таблицы для оценки жалоб, данных анамнеза, неврологического статуса больного и стандартные опросники (тест на тревожность Тейлора, шкала депрессии НИИ психоневрологии им.Бехтерева, индекс общего психологического благополучия). Результа-ты. Такие аффективные расстройства, как тревожность, депрессия, достаточно часто встречаются у больных рассеянным склерозом, однако выражены они в группах больных, получающих и неполучающих ПИТРС, по-разному. Заключение. Следует рекомендовать практическим неврологам при лечении больных рассеянным склерозом обращать внимание на наличие или отсутствие у них определенного спектра психических наруше-ний, в первую очередь тревожно-депрессивного синдрома, который нуждается в персонифицированной меди-каментозной и немедикаментозной коррекции.
http://www.ssmj.ru/system/files/201202_484-488.pdf
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https://www.researchgate.net/publication/47460246_Mental_illness-stigma_and_discrimination_in_Zambia