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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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Guía para el seguimiento del desarrollo infantil en la práctica pediátrica

Gutson, K.; San Román, N. C., et al Arch Argent Pediatr (2017) C2

El pediatra es el médico de cabecera de los niños pequeños y es el primero en ser consultado por las familias. Los padres esperan que el pediatra no solo sea un experto en atender al niño durante una enfermedad, sino que también lo sea en temas vinculados al desarrollo. Las alteraciones del d... more

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A worsening health crisis for children

UN Children's Fund UNICEF (2022) C_UNICEF

The consequences of the failing health system has immediate and longer-term impacts on children . April 2022 Available in English and Arabic

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Alocação justa de recursos de saúde escassos diante da pandemia de COVID-19: considerações éticas

Satomi, E.; P.M. Rodrigues de Souza, B. da Costa Thomé et al. Einstein Journal (2020) CC

As pandemias virais costumam representar sérias ameaças ao equilíbrio dos sistemas de saúde, ao impor-lhes demandas extraor-dinárias e sustentadas, que podem ultrapassar a capacidade de atendimento, no que diz respeito tanto aos insumos e às tecnologias disponíveis, quanto aos recurs... more

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A SPECIAL STUDY ON PROVISION OF CARE FOR SICK NEWBORNS IN THE PRIVATE SECTOR IN NEPAL

Save the Children International (2017) C2

This study was an exploratory situation analysis assessing public and private service providers knowledge, attitudes and practice to treat possible severe bacterial infection (PSBI) among children less than six months of age.

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Extending Prevention of Mother-to-Child Transmission through Postpartum Family Planning in Lesotho

Frontiers in Reproductive Health, Family Health Department, Ministry of Health and Social Welfare, Kingdom of Lesotho (2008) C2

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Malawi MDG Endline Survey 2014

National Statistical Office of Malawi; UNICEF; WHO; et al. (2015)

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Closing the immunisation gap in Ethiopia: a formative evaluation of ‘The Fifth Child Project’

Shiferaw Dechasa Demissie, et al. International Rescue Committee, London School of Hygiene & Tropical Medicine, Assosa Referral Hospital (2019) C1

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Banco de Recursos de Comunicación del Ministerio de Salud de la Nación | Materiales para equipos de salud

Ministerio de Salud Argentina Ministerio de Salud Argentina (2021) CC

Communication Resources Bank of the National Ministry of Health | Materials for Health Teams

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The state of the health workforce in the WHO African Region, 2021

WHO Universal Health CoverageLife Course Cluster, WHO Regional Office for Africa (2021) C_WHO

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Malawi MDG Endline Survey 2014. Key Findings

National Statistical Office of Malawi; UNICEF; WHO; et al. (2016)

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Lesotho: HIV and HEALTH

United Nations Children's Fund (UNICEF) (2016)

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Medición del gasto en tuberculosis en El Salvador, año 2018 (MEGA TB 2018)

Orellana Bendek, A.C. ; C. Alvarenga Cardoza Ministerio de Salud El Salvador (2019) CC

Public expenditure on TUBERCULOSIS in EL SALVADOR, during the fiscal year 2018

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A rapid inital assessemtn of the distribution and consumption of iron-folic tablets through antental care in Haiti

USAID, SPRING (2014) CC

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Namibia Drought Assessment Report

International Federation of Red Cross IFRC (2022) CC2

750,000 people are estimated to be food insecure. This number may magnify as households continue to recover from impacts of COVID-19. Over 63% of household surveys were responded to by female heads and 37.5% of the Key informant respondents were women. Women and children continue to be more dispr... more

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National agrifood systems and COVID-19 in South Sudan: Effects, policy responses, and long-term implications

Food and Agriculture Organization of the United Nations FAO (2022) C1

The COVID-19 pandemic has put significant pressure on health systems all around the world. The drastic measures established to contain its spread are creating serious impediments to economic activity (including agrifood systems) and, consequently, to livelihoods and food security and nutrition.

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Análisis de género y salud: COVID-19 en las Américas

Pan American Health Organisation PAHO OCHA Services reliefweb (2021) C_WHO

This document focus on the direct consequences of the virus (morbidity and mortality) in specific populations and on the results of measures aimed at mitigating the spread of the virus, with indirect impacts on socio-economic conditions. In this complex scenario, the gender approach has not received... more