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 This is often complicated by clinical guidance that is out of date, inconsistent and informed by evidence from high-income countries that ignores LMIC resource constraints and...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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Цель этой главы – представить практические подходы в диагностической оценке и лечении детей, страдающих энурезом, которые могут быть реализованы в разных условия...х, в том числе и при ограниченности ресурсов.
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The main message emerging from this new comprehensive global assessment is that premature death and disease can be prevented through healthier environments – and to a significant degree. Analysing the latest data on the environment-disease nexus and the devastating impact of environmental hazards ...and risks on global health, backed up by expert opinion, this report covers more than 100 diseases and injuries.
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National-scale databases and reliability issue
Background report
Asthma is the most common chronic condition in children worldwide. It affects daytime activities, sleep and school attendance and causes anxiety to parents, families and other carers. The quality of asthma diagnosis and management globally still needs substantial improvement. From infancy to the tee...nage years, there are age-specific challenges, including both underdiagnosis and overdiagnosis with stigma-related barriers to treatment in some cultures and in adolescents. The Paediatric Asthma Project Plan has been initiated to strengthen diagnosis and management of asthma. This encompasses a vision for the next 10–15 years, building on the knowledge and experience from previous educational projects. It will take into account the educational needs of patients, carers and healthcare professionals as well as the accessibility and affordability of medication, particularly in low and middle-income countries where the prevalence of asthma is rising more rapidly. This overview presents a first step for those involved in the diagnosis and management of childhood asthma to strengthen care for children globally.
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Le guide du relais communautaires.
Lecture 9 Developing countries regional anesthesia lecture series
This report presents the key findings of the end-of-project assessment of households and
community health volunteers, conducted in 2017 in the Kamukunji and Embakasi sub-counties
of Nairobi, Kenya, for a Community Health Volunteers’ Decision Support System (CHV DSS)
intervention project. The re...port was prepared by the African Population and Health Research
Center (APHRC). The end-line survey was implemented by APHRC. Implementation of the CHV
DSS project is a joint collaboration among several partners, including APHRC, the City County
of Nairobi, sub-county health management teams (Kamukunji and Embakasi), and community
health volunteers. The opinions expressed in this report are those of the authors and do not
necessarily reflect the views of the donor organization, the County Innovation Challenge Fund
for Kenya.
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The NICE guideline on antimicrobial prescribing for acute exacerbations of COPD provides recommendations for optimizing antibiotic use to treat exacerbations effectively while minimizing the risk of antimicrobial resistance. It includes criteria for assessing the need for antibiotics, guidance on se...lecting antibiotics, and considerations for reassessment and follow-up care.
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In Yemen, the poorest country in the Middle East, 3 million children have been born into horrific violence that has escalated since March 2015.
Calling for the needs of Yemen’s children to be prioritized, UNICEF’s “Born into War” report reminds involved parties of their legal obligations t...o protect children during conflict—delivering a wake-up call backed by sobering statistics.
5,000 children have been killed or injured in the violence; over 11 million require humanitarian assistance. With the collapse of basic services, schools are closing and disease is spreading. Children under 5 account for a quarter of suspected cholera and acute watery diarrhea cases, which have afflicted over 1 million people.
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Map of Distribution of opisthorchiasis, worldwide, latest year available.
Foodborne trematodes are a group of diseases that include the parasites Clonorchis, Opisthorchis, Fasciola and Paragonimus. These parasitic flukes have a complex life cycle involving diverse definitive hosts and one or two i...ntermediate hosts. Foodborne trematodes cause infection in humans via the consumption of contaminated food (raw fish, crustaceans or vegetables). Infection can result in severe liver and lung disease and together these diseases are estimated to cause 2 million life years lost to disability and death worldwide every year.
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Welche Werte prägen unser Zusammenleben? Welche Rechte, Pflichten und Freiheiten hat der Einzelne in der Gesellschaft? Wie weit geht die Presse- und Meinungsfreiheit in Deutschland? Antworten auf Fragen wie diese gibt die Filmreihe des Bundesamtes. Im Mittelpunkt der ansprechenden und anschaulich i...llustrierten Erklärfilme stehen das Grundgesetz und die in ihm verankerten Werte.
Die insgesamt sechs Episoden liegen in den fünf Sprachen Deutsch, Arabisch, Englisch, Französisch und Farsi vor. In jeder Sprachversion führt eine Moderatorin oder ein Moderator durch die Filme. Kleine Animationen illustrieren diese ansprechend und ergänzen so die Erklärungen der Moderatoren
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Qualitative study from Zambia on barriers to and facilitators of life-long learning
This guide aims to help country programs (CPs) develop a locally and programmatically appropriate definition of psychosocial
well‑being and develop indicators responsive to that definition. The guidance also aims to help with the selection of appropriate data collection methods and the developmen...t of corresponding data collection tools to measure those indicators, and with performing
quantitative data analysis at baseline, midterm2 and endline.
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Целью данной презентации является предоставление рекомендаций для работников здравоохранения, которые участвуют в лечении, мониторинге, оценке, анализе и отчетн...сти о промежуточных и окончательных результатах лечения пациентов с ЛУ-ТБ.
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PLoS ONE 13(8): e0202499. https://doi.org/10.1371/journal.pone.0202499
This was a school-based cross-sectional study conducted in 2015 among 305 school children aged 7–16 years from two primary schools located in Ilemela and Magu Districts, north-western Tanzania. Single stool and urine samples w...ere collected from each participant and examined for the presence of Schistosoma mansoni eggs, parasite antigen, and parasite DNA using KK thick smears, POC-CCA tests, and real-time PCR, respectively.
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