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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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A People’s Vaccine for Refugees: Ensuring access to COVID-19 vaccines for refugees and other displaced people

Oxfam (2021) C1

For most people in displacement contexts, there are simply not enough vaccines available in the places where they are hosted: 85% of refugees are hosted in lower- and middle-income countries, while in the first six months of this year 85% of vaccines went to wealthy countries; lower- and middle inco... more

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Burning Problems, Inspiring Solutions - sharing lessons on action agains tobacco and fossil fuels

NCD Alliance, IISD (2019) C2

This report challenges policy-makers and political leaders to tackle fossil fuel production and consumption as a health control issue, in the same way that smoking has been reduced and regulated. Fossil fuel combustion is a major source of toxic air pollution that kills 7 million people every year, ... more

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Holding the line: communities as first responders to COVID-19 and emerging health threats

UNAIDS (2022) C_WHO

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Long-Run Impacts of the Conflict in Ukraine on Food Security in Africa

Balma, L.; et al. (2022) CC

Kiel Policy Brief, Ukraine Special 1, March 2022.Many African countries heavily rely on imports of agricultural commodities and agricultural inputs from Ukraine and Russia, for example wheat, other grains, and fertilizer. Russia’s invasion of Ukraine has disrupted global access to grains due to re... more

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SAVE Advocacy Strategy - The Kenyan Case Study

Inerela + Kenya (International Network of Religious Leaders Living with or personally affected by HIV - Kenya Chapter); Christian aid (2019) C2

Accessed: 17.11.2019

External Link

A framework for the quantification and economic valuation of health outcomes originating from health and non-health climate change mitigation and adaptation action

World Health Organization WHO (2023) C_WHO

This report presents a framework to link science, policy and practice for a comprehensive assessment of climate mitigation and adaptation investments and their impact on human health.The framework proposes to use weather and climate data to forecast health impacts over time, as well as biophysical a... more

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The Privacy, Confidentiality and Security Assessment Tool - Protecting personal health information

UNAIDS (Joint United Nations Programme on HIVAIDS); PEPFAR UNAIDS (Joint United Nations Programme on HIVAIDS); PEPFAR (2016) C2

UNAIDS 2019 / Guidance

External Link

Achieving universal electrification of rural healthcare facilities in sub-Saharan Africa with decentralized renewable energy technologies

Moner-Girona, M.; et al. (2021) CC

Joule 5, 2687–2714 October 20, 2021 Cell Press

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Cognitive profiles of Post-traumatic Stress Disorder and depression in children and adolescents

Barrera-Valenciaa, M., Calderón-Delgado, L., Trejos-Castillo, E. & O’Boyle, M. International Journal of Clinical and Health Psychology (2017) CC

Several diagnostic criteria of Post-traumatic Stress Disorder (PTSD) are remarkably similar to symptoms reported by individuals with depression, particularly as they manifest as cognitive processing deficits in children. Because of this overlap in profile and the high rate of comorbidity of PTSD and... more

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Standard Treatment Guidelines and Essential Medicines List for South Africa : Primary Healthcare Level 2020 edition

the Essential Drugs Programme, the PHCAdult Hospital Level Expert review Committee, the National Essential Medicines List Committee National Department of Health South Africa (2020) CC

The PHC STGs and EML should be used by healthcare workers providing care at clinics, community health centres, and gateway clinics at hospitals. Pharmaceutical and Therapeutics Committees (PTCs) are responsible for ensuring the availability of medicines listed in the PHC EML at those facilities, as... more

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Humanitarian Action for Children 2021 - Ukraine

UN Children's Fund UNICEF (2020) C_UNICEF

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Ghana 2017 Maternal Health Survey

Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF (2018) CC

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POCKET GUIDE ON DISIBILITY EQUITY AN EMPOWERMENT TOOL

Disabled People South Africa (DPSA) DPSA PALIMENTRY OFFICE (2001) C2

In support of the African decade of disabled persons | 1st January 199 - 31st of December 2009

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Guidelines on the Conservation of Medicinal Plants

International Union for Conservation of Nature and Natural Resources (IUCN), World Health Organization (WHO) (1993) C_WHO

The aim of these Guidelines is to provide a framework for the conservation and sustainable use of plants in medicine. To do this, the Guidelines describe the various tasks that should be carried out to ensure that where medicinal plants are taken from the wild, they are taken on a basis that is sust... more

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Communication Support World Network Newsletter

Central Coast Children's Foundation (2015) C2

Special Issue: Special Education in Sub-Saharan Africa | This special issue of our Communication*Support*World*Network*Newsletter attempts to share practical ideas and information about special education for children with disabilities in sub-Saharan Africa. Our intent is to begin a dialogue among th... more

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Water, sanitation and hygiene in health care facilities: status in low and middle income countries and way forward.

Maria Neira, Edward Kelley, Mickey Chopra et al. World Health Organization, UNICEF (2015)

This report presents, for the first time, a global assessment of the extent to which health care facilities provide essential water, sanitation and hygiene (WASH) services. Drawing on data from 54 low- and middle-income countries, the report concludes that 38% lack access to even rudimentary levels ... more

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Case Study: Mental health in Makueni County, Kenya

Ndetei D, Musyimi C, Musau A, Matoke L, Mutiso V Shaping Health Programme (2017) CC

Shaping Health programme on Learning from international experience on approaches to community power, participation and decision-making in health,AMHF, TARSC

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Report of the Planning Meeting on Strategic Options for HIV/AIDS Advocacy in Africa

UNAIDS; UNFPA (United Nations Population Fund) (2019) C2

Accessed: 17.11.2019

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The Surveillance of Antimicrobial Resistance Using Public Health Laboratory-Based Sentinel Sites in Ethiopia 2016-2020

The Ethiopian Public Health Institute (2017) CC

Ethiopia Antimicrobial Resistance Surveillance Plan