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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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Burden of Severe Fungal Infections in Burkina Faso

Bamba S. , Zida A., Sangaré I. et al. Journal of Fungi (2018) CC

Because of the limited access to more powerful diagnostic tools, there is a paucity of data regarding the burden of fungal infections in Burkina Faso. The aim of this study was to estimate the incidence and prevalence of serious fungal infections in this sub-Saharan country. We primarily used the na... more

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Spatial distribution and determinants of asymptomatic malaria risk among children under 5 years in 24 districts in Burkina Faso

Ouédraogo M., Samadoulougou S., Rouamba T. et. al. Malaria Journal (2018) C2

Malaria Journal (2018) 17:460 https://doi.org/10.1186/s12936-018-2606-9 In malaria endemic countries, asymptomatic cases constitute an important reservoir of infections sustaining transmission. Estimating the burden of the asymptomatic population and identifying areas with elevated risk is import... more

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RD Congo - Région du Nord-Kivu et de l'Ituri : Plan de Réponse d'Urgence (Avril - Sept 2018)

UN Office for the Coordination of Humanitarian Affairs (OCHA) (2018) C1

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WHO Regional strategic plan for EVD operational readiness and preparedness in countries neighboring the Democratic Republic of the Congo June 2018 – February 2019
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World Health Organization WHO (2018) C_WHO

The Strategic plan aims to ensure alignment of preparedness and readiness actions in the nine countries focusing on eight technical areas: strengthening multisectoral coordination; surveillance for early detection; laboratory diagnostic capacity; points of entry; rapid response teams; risk communica... more

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RDC - NORD KIVU - BUTEMBO - Situation épidémiologique - Cas cumulés et contacts jusqu'au 16 sept. 2018

Medécins sans Frontières MSF (2018) C2

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RDC - NORD KIVU - Situation épidémiologique du CTE de Beni - Nb de cas cumulés jusqu'au 7 sept. 2018

Medécins sans Frontières MSF (2018) C2

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SMILE OVC program uses targeted approach to boost TB case-finding among vulnerable children

Catholic Relief Services CRS (2018) CC

In 2016 CRS leveraged the robust infrastructure of its large, multi-sectoral orphans and vulnerable children (OVC) program in Nigeria by expanding the program's core mandate to include community childhood TB casefinding, with a focus on highly vulnerable children and their caregivers

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Temperature Check: Border Screening of Travelers Key to Stopping Ebola from Spreading

Golden, A. US Agency for International Development (2018) CC

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DR Congo - 2018 Ebola Outbreak in North Kivu Province (September 5, 2018 update)

UN Children's Fund (UNICEF) (2018) C1

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State of Health in the WHO African Region
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World Health Organization WHO, Regional Office African Region (2018) C_WHO

This report is not a country scorecard. Rather, its purpose is to act as a compass to guide progress towards health in the SDGs. There has been a significant improvement in the state of health in the region with healthy life expectancy - time spent in full health - in the region increasing from 50... more

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Yellow fever – Republic of the Congo, 7 September 2018

World Health Organization WHO (2018) C_WHO

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Bulletin d’épidémiologie et d’information sanitaire - Burkina Faso

Dr. Ouangare A., Ouedraogo S., Da D. et al. Ministère de la Santé, Burkina Faso (2018) C2

Disposer d’une information sanitaire de qualité est une quête permanente de la DGESS du Ministère de la santé. Le niveau de qualité des données de routine du système national d’information sanitaire bien qu’en amélioration ces dernières années demeure une priorité. Une des cause... more

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Experimental Ebola drugs face tough test in war zone

Maxman, A. (2018) C2

Researchers are devising a clinical-trial protocol to test three medicines in Africa's latest outbreak Nature doi: 10.1038/d41586-018-06132-7

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Plan Operationnel de reduction de la mortalite maternelle et neonataleau Benin, 2018-2022

Ministere de La Santé, Benin (2018) CC

Le Bénin en registre chaque année environ 1500 décès maternels et plus de 12 000 décès de nouveau-nés. Face à cette situation, il estélaboré le plan opérationnel de réduction de la mortalité maternelle et néonatale 2018 –2022. Il s’agit du document par lequel le Minist�... more