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Access to health care for people with disabilities in rural Malawi: what are the barriers?

Harrison, J.A.K.; Thomson, R.; Banda, H.T. et al. BMC Public Health (2020) CC

People with disabilities experience significant health inequalities. In Malawi, where most individuals live in low-income rural settings, many of these inequalities are exacerbated by restricted access to health care services. This qualitative study explores the barriers to health care access experi... more

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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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Testing for Ethnic Discrimination in Outpatient Health Care: Evidence from a Field Experiment in Germany

M. Halla; Kah, C.; Sausgruber, R. Johannes Kepler University Linz (2022) CC

To test for ethnic discrimination in access to outpatient health care services, we carry out an email-correspondence study in Germany. We approach 3,224 physician offices in the 79 largest cities in Germany with fictitious appointment requests and randomized patients’ characteristics. We find t... more

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Modelling historical changes in the force-of-infection of Chagas disease to inform control and elimination programmes: application in Colombia

Cucunubá, Z.; Nouvellet, P.; Conteh, L. et al. BMJ Global Health (2022) CC

BMJ Glob Health 2017;2:e000345. doi:10.1136/bmjgh-2017-000345. WHO's 2020 milestones for Chagas disease include having all endemic Latin American countries certified with no intradomiciliary Trypanosoma cruzi transmission, and infected patients under care. Evaluating the variation in historical expo... more

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Gesundheitskompetenz von Menschen mit Migrationshintergrund in Deutschland

E.-M. Berens, Klinger, J.; Mensing, M.; et al. IZGA (2022) CC

Die vorliegende Studie HLS-MIG liefert erstmals für Deutschland detaillierte Daten zur Gesundheitskompetenz von Menschen mit Migrationshintergrund. Sie konzentriert sich auf die beiden großen Einwanderungsgruppen: Menschen mit ex-sowjetischem und türkischem Migrationshintergrund. Die Studie schli... more

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Political Will for the Health System Devolution in Kenya: Insights from three counties

Lipsky A., Mulaki A., Williamson T., et al. Health Policy Project, USAID (2015) C1

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Integrating mental health into South Africa’s health system: current status and way forward

Schneider, M.; E. Baron, E. Breuer, et al. (2016) CC

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Tuberculosis - Prevention in travellers

A. A. Neilson, C. A. Mayer RACGP (2010) C2

Reprinted from Australian Family Physician Vol. 39, No. 10, october 2010

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Neglected Tropical Diseases: A Comprehensive Review

CA J, Kumar P V, Kandi V, et al. (2024) CC

Cureus 16(2): e53933. DOI 10.7759/cureus.53933

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A gender analysis of the right to a nationality in Myanmar

Norwegian Refugee Council (NRC), UN Refugee Agency (UNHCR), UN Women et al. (2018) C1

According to 2014 Census data, almost a third of the population in Myanmar do not have adequate identity and civil documentation. Of these, 54 percent are women.
Women who live in remote or conflict affected areas, who are displaced or belong to stateless ethnic and religious minorities face the... more

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Venomous snake bites: clinical diagnosis and treatment

Toru Hifumi et al. (2015) CC

Article published in: Journal of Intensive Care (2015) 3:16

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Protocolo 3. Manejo de la Diabetes en Atención Primaria de la Salud

Ministerio de salud pública y bienestar social, Paraguay todos y todas, et al. (2011) C1

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Delivering mental health and psychosocial support interventions to women and children in conflict settings: a systematic review

Kamali M, Munyuzangabo M, Siddiqui FJ, et al. (2020) CC

BMJ Global Health2020;5:e002014. doi:10.1136/bmjgh-2019-002014

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Management of covid-19: a practical guideline formaternal and newborn health care providers inSub-Saharan Africa

B. N. Ezenwa, I. B. Fajolu, O. R. Akinajo, et al. The Journal of Maternal-Fetal & Neonatal Medicine (2020) CC

COVID-19 is a pandemic that is currently ravaging the world. Infection rate is steadily increasingin Sub-Saharan Africa. Pregnant women and their infants may suffer severe illnesses due to theirlower immunity. This guideline prepares and equips clinicians working in the maternal and new-born section... more

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The twin epidemics: Prevalence of TB/HIV co- infection and its associated factors in Ethiopia; A systematic review and meta-analysis

B. Tesfaye; A. Alebel; A. Gebrie; et al. PLOS One (2018) CC

PLOS ONE | https://doi.org/10.1371/journal.pone.0203986 October 3, 2018

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The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study

Panday, S., P. Bissell , E.van Teijlingen, et al. (2017) CC

BMC Health Services Research (2017) 17:623 DOI 10.1186/s12913-017-2567-7

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Assist - The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)

R. Humeniuk, S. Henry-Edwards, R. Ali; et al. World Health Organization WHO (2010) C_WHO

Manual for use in primary care. There is substantial evidence for the benefits of screening and brief intervention in primary health care for alcohol problems. However, there is a need for screening and brief interventions with cross-cultural relevance for substances other than alcohol or tobacco,... more

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Malawi MDG Endline Survey 2014

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

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Building Health System Capacity Through Implementation Research: Experience of INSPIRE—A Multi-country PMTCT Implementation Research Project

M. Newman Owiredu; N. B. Bellareet; C. C. Chakanyuka Musanhu al. J Acquir Immune Defic Syndr; Wolters Kluwer Health (2017) C2

Supplement Article J Acquir Immune Defic Syndr Volume 75, Supplement 2, June 1, 2017 Building Health Systems through Implementation Research Published by Wolters Kluwer Health, Inc.

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Emotions and feelings in critical and emergency caring situations: a qualitative study

Jiménez-Herrera M.F., Llauradó-Serra M., Acebedo-Urdiales S. et al. (2020) CC

Moral emotions are a key element of our human morals. Emotions play an important role in the caring process. Decision-making and assessment in emergency situations are complex and they frequently result in different emotions and feelings among health-care professionals.