The 2021 WHO health and climate change global survey report provides a valuable snapshot of the overall progress governments have made in addressing the health risks of climate change. The findings on key health and climate change indicators aim to empower policy makers to: make informed decisions o...n the implementation of policies and plans; identify evidence gaps; and better understand the barriers to achieving adaptation and resilience priorities in the health sector while maximizing the health benefits of sector-wide climate mitigation efforts.
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Background: Community Health Workers (CHWs) have a positive impact on the provision of community-based
primary health care through screening, treatment, referral, psychosocial support, and accompaniment. With a
broad scope of work, CHW programs must balance the breadth and depth of tasks to mainta...in CHW motivation for
high-quality care delivery. Few studies have described the CHW perspective on intrinsic and extrinsic motivation to
enhance their programmatic activities.
Methods: We utilized an exploratory qualitative study design with CHWs employed in the household model in Neno
District, Malawi, to explore their perspectives on intrinsic and extrinsic motivators and dissatisfiers in their work. Data
was collected in 8 focus group discussions with 90 CHWs in October 2018 and March–April 2019 in seven purposively
selected catchment areas. All interviews were audiotaped, transcribed verbatim, coded, and analyzed using Dedoose.
Results: Themes of complex intrinsic and extrinsic factors were generated from the perspectives of the CHWs in
the focus group discussions. Study results indicate that enabling factors are primarily intrinsic factors such as positive
patient outcomes, community respect, and recognition by the formal health care system but can lead to the chal-
lenge of increased scope and workload. Extrinsic factors can provide challenges, including an increased scope and
workload from original expectations, lack of resources to utilize in their work, and rugged geography. However, a posi-
tive work environment through supportive relationships between CHWs and supervisors enables the CHWs.
Conclusion: This study demonstrated enabling factors and challenges for CHW performance from their perspec-
tive within the dual-factor theory. We can mitigate challenges through focused efforts to limit geographical distance,
manage workload, and strengthen CHW support to reinforce their recognition and trust. Such programmatic empha-
sis can focus on enhancing motivational factors found in this study to improve the CHWs’ experience in their role. The
engagement of CHWs, the communities, and the formal health care system is critical to improving the care provided
to the patients and communities, along with building supportive systems to recognize the work done by CHWs for
the primary health care systems.
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Why a 4°C warmer world must be avoided
14 de setembro de 2020Este Modelo de Valores fornece orientações globais para alocação de vacinas contra a COVID-19 entre os países, e orientações nacionais de priorização de grupos para vacinação dentro dos países em caso de oferta limitada. O Modelo destina-se a auxiliar os elaboradore...s de políticas públicas e assessores especializados nos âmbitos global, regional e nacional nas decisões sobre alocação e priorização de vacinas contra a COVID-19. Este documento foi endossado pelo Grupo Consultivo Estratégico de Especialistas em Imunização
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Au plan conceptuel, le PNDS 2011-2020 est l’instrument de mise en œuvre de la
Politique nationale de santé (PNS). Dans cette perspective, il est organisé autour des
huit orientations prioritaires retenues dans la Politique nationale de santé. Chacune de ces orientations stratégiques est tra...duite en axes d’interventions et en actions
prioritaires.
Pour sa mise en œuvre, des plans triennaux seront élaborés en déclinant les actions
prioritaires retenues en activités opérationnelles.
Le présent PNDS 2011-2020 est accompagné d’un plan de suivi et d’évaluation pour
assurer un suivi optimal de sa mise en œuvre.
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La tuberculosis (TB) continúa siendo un problema mundial de salud pública de grave magnitud, clasificándose como la segunda causa de muerte por enfermedad infecciosa, pese a los aportes logrados en el control las cifras no son alentadoras, de acuerdo con la Organización Mundial de la Salud (OMS)..., en el 2017, se presentaron 10,0 millones de personas que padecieron tuberculosis, estos casos se presentaron en 5,8 millones de hombres, 3,2 millones de mujeres y 1,0 millón de niños
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Accessed on 03.03.2020
Situatiuon sanitaire du Sénégal
Dr Boubacar SARR - Coordonnateur du Programme National de Lutte contre la Cécité
A GUIDE FOR HEALTH WORKERS AND AUTHORITIES IN NIGERIA
DESIGN OF THIS CASE REPORT FORM (CRF)This CRF has 3 modules:Module 1to be completed on the first day of admission to the health centre.Module 2 to be completed daily during hospital stay for as many days as resources allow. Continue to follow-up patients who transfer between wards. Module 3 to be co...mpleted at discharge or death
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De acuerdo al informe de ONUSIDA sobre la Epidemia Mundial de sida 2008, se
estima que en el año 2007, 370.000 niños menores de 15 años se infectaron con el
VIH. A nivel mundial, el número de niños menores de 15 años que viven con el VIH
aumentó de 1,6 millones en 2001 a 2 millones en 2...007.
Los efectos de la epidemia entre los niños pequeños son graves y de largo alcance. El sida amenaza con causar un retroceso en los años de progreso constante y en la supervivencia de los niños; ha duplicado la mortalidad infantil en los países más afectados por esta epidemia.
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