Guía de Práctica Clínica para el manejo de la hipertensión arterial primaria (HTA)
Guía de Práctica Clínica 2017
COVID-19 has triggered the deepest global recession since the 1930s. Extreme poverty has risen for the first time in 22 years, and unemployment has increased dramatically. Women and young people aged 15 – 29 working in the informal sector are being hit the hardest. School closures have affected 91... per cent of students worldwide.
Political conflicts are more intense and taking a heavy toll on civilians, disproportionately affecting children. Women and girls are at increased risk of conflict-related sexual violence. Attacks against aid and health workers persist. For the ninth consecutive year, more than 90 per cent of casualties from explosive weapons in populated areas were civilians.
The last decade saw the highest-ever number of people internally displaced by conflict and violence, with many locked in a state of protracted displacement. There are an estimated 51 million new and existing IDPs, and the number of refugees has doubled to 20 million.
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Le suivi évaluation des interventions en santé passe par une meilleure lisibilité de l’analyse situationnelle. Une capitalisation du niveau d’atteintes des indicateurs est nécessaire pour traduire la situation sanitaire. Le présent tableau de bord de santé décrit cette situation à traver...s une appréciation objective des performances du système de santé en rapport avec la mise en œuvre des différentes stratégies et politiques telles le Plan national de développement sanitaire (PNDS), la Stratégie de croissance accéléré de développement durable (SCADD), les Objectifs du millénaire pour le développement (OMD) etc.
Son élaboration a requis un processus participatif avec la participation des acteurs du
système de santé notamment les structures centrales, les projets et programmes, les
acteurs du niveau intermédiaire, périphérique avec l’appui technique des partenaires. Audelà du caractère descriptif de la situation sanitaire, il apparait comme un outil de plaidoyer et interpelle sur les efforts à consentir pour une amélioration de l’état de santé des populations. Il comporte six sections que sont (i) les données générales, (ii) les ressources en santé, (iii) la santé de la mère et de l’enfant, (iv) les maladies à potentiel épidémique, (v) les maladies d’intérêt spécial, (vi) l’utilisation des services de santé.
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L’impact des interventions de lutte contre le paludisme, ces dernières années, a fortement modifié la répartition géographique du fardeau de la maladie. Cette nouvelle configuration impose une stratification plus opérationnelle permettant d’adapter les interventions aux caractéristiques ...pidémiologiques locales. L’approche focalisée des interventions spécifiques par zone devient alors un impératif.
Le présent PSN pour la période 2016 - 2020 clarifie ces nouvelles orientations strategiques.
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BMJ 2020;368:m800 doi: 10.1136/bmj.m800 (Published 5 March 2020)
Developmental disorders
Chapter C.5
Information on Chikungunya Fever
A System of Health Accounts 2011: Revised Edition provides an updated and systematic description of the financial flows related to the consumption of health care goods and services. As demands for information increase and more countries implement and institutionalise health accounts according to the... system, the data produced are expected to be more comparable, more detailed and more policy relevant. It builds on the original OECD Manual, published in 2000, and the Guide to Producing National Health Accounts to create a single global framework for producing health expenditure accounts that can help track resource flows from sources to uses. It is the result of a collaborative effort between the OECD, WHO and the European Commission, and sets out in more detail the boundaries, the definitions and the concepts – responding to health care systems around the globe – from the simplest to the more complicated.
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Trustworthy, evidence-based health guidelines form the basis of national policies affecting both patients and health-care workers. Emphasizing the link between robust evidence and people’s trust in their health systems, Dr Hans Henri P. Kluge, WHO Regional Director for Europe said at the launch ev...ent, “Trust and transformation are key words for us, especially when we talk about improving and strengthening our health systems. Transformation should first and foremost serve the interests of patients and health-care workers”.
While it is not always easy to demonstrate the immediate effect of guidelines on people’s health, there is no viable alternative to utilizing guidelines based on the best available evidence.
Yet, developing robust guidelines remains a challenge for most countries. “Guidelines need to be both simple to use and timely, they need to address people’s real needs, especially at the local level, and should ultimately reflect the resources available,” said Dr Natasha Azzopardi-Muscat, Director, Country Health Policies and Systems, WHO/Europe. “This means that any successful guideline needs to be adjusted and adapted to local contexts and realities.”
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Developmental disorders
Chapter C.4
Environmental pollution, protection, quality and sustainability
UN, international agencies and experts released a groundbreaking report demanding immediate, coordinated and ambitious action to avert a potentially disastrous drug-resistance crisis.
If no action is taken - warns the UN Ad hoc Interagency Coordinating Group on Antimicrobial Resistance who release...d the report – drug-resistant diseases could cause 10 million deaths each year by 2050 and damage to the economy as catastrophic as the 2008-2009 global financial crisis. By 2030, antimicrobial resistance could force up to 24 million people into extreme poverty.
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Miscellaneous
Chapter J.5
Health and Human Rights Journal
December 2016 / Volume 18 / Number 2 / Papers, 171-182