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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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Progress in the elimination of lymphatic filariasis in the Western Pacific Region: successes and challenges

A. Yajima; Ichimori, K. International Health (2020) C1

The Western Pacific Region is the largest and most diverse region in the world, made up of 37 countries and territories in the Pacific, Oceania and parts of Asia, with a population of more than 1.9 billion people stretching over an area from China and Mongolia in the north to New Zealand in the sout... more

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Ethiopia National Wash Cluster Briefing Package, March 2024

UN Children's Fund UNICEF; WASH Cluster (2024) CC

The document is part of the briefing package for Ethiopia's Water, Sanitation, and Hygiene (WASH) Cluster, which consists of resources that provide greater clarity and guidance to the cluster partners and other humanitarian actors. The document is divided into four sections. Each section represen... more

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World Heart Federation Roadmap for Hypertension – A 2021 Update

Jemoon, P.; Séverin, T.; Amodeo, C. et al. Global Heart (2021) CC

The World Heart Federation (WHF) Roadmap series covers a large range of cardiovascular conditions. These Roadmaps identify potential roadblocks and their solutions to improve the prevention, detection and management of cardiovascular diseases and provide a generic global framework available for loca... more

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Nepal Health Sector Programme II (NHSP II) Mid-Term Review

HEART (Health & Education Advice and Resource Team (2013) C1

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Philippines: National tuberculosis control program laboratory network strategic plan 2013-2016

Noel G. Macalalad, Ma. Cecilia G. Ama, Arthur B. Lagos et al. Research Institute for Tropical Medicine National Tuberculosis Reference Laboratory (2013) C1

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Implementing comprehensive HIV and STI programmes with transgender people: Practical guidance for collaborative interventions

UNDP, IRGT, UNFPA, UNAIDS, WHO, USAID, PEPFAR, UCSF Center of Excellence for Transgender Health, Johns Hopkins Bloomberg School of Public Health (2016) C1

This publication offers practical advice on implementing HIV and STI programmes for transgender people, with a focus on transgender women, aligned with the 2011 Recommendations and the 2014 Key Populations Consolidated Guidelines. It contains examples of good practice from around the world that may ... more

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Pacto Mundial contra la Diabetes. Implementación en la Región de las Américas

World Health Organization Africa Region; WHO Africa (2016) C_WHO

It is estimated that 422 million people in the world live with diabetes. WHO forecasts that this number will reach 622 million by 2040. The majority of people with diabetes live in developing countries. The number of people with diabetes is increasing, notably in Africa, from 3 adults among 100 peop... more

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Developing and Strengthening Community Health Worker Programs at Scale, A Reference Guide for Program Managers and Policy Makers

USAID, MCHIP (2013) CC

Recently, a renewed interest in large-scale community health worker (CHW) programs has been seen globally. This renewal provides an opportune moment to take stock of issues and challenges such programs face and what can be done to make them as effective as possible. With this in mind, this manual is... more

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Communities of practice disabiity advocacy for mainstreaming (COPDAM) Program: Lesotho

Lesotho National Federation of Organisations of the Disabled (LNFOD) (2013) C2

LESOTHO COPDAM BASELINE STUDY 2013

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Philipine Plan of Action to Control Tuberculosis (PhilPACT)
recommended

National TB Control Program, Department of Health (2014) C1

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Sudah Siapkah Kita Menghadapi Gempa Bumi?

Ministry of Health Republic of Indonesia, WHO (2016) C_WHO

Guidance book about implementation of health crisis response for school children in Indonesia in facing earthquake as natural disaster

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A short guide to cancer screening. Increase effectiveness, maximize benefits and minimize harm

World Health Organization WHO, Regional Office of Europe (2022) C1

The purpose of cancer screening tests is to detect pre-cancer or early-stage cancer in asymptomatic individuals so that timely diagnosis and early treatment can be offered, where this treatment can lead to better outcomes for some people. The aim of a cancer screening programme is either to reduc... more

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Community-based rehabilitation (CBR) for people with disabilities in Nepal: an overview

Padmani Mendi & Romi Gurung Handicap International (2007) C2

This study examines over 20 years of CBR implementation in Nepal. It includes an overview of CBR interventions, provides analysis of approaches and activities in terms of impact and sustainability and makes recommendations for future developments in CBR. This resource is useful for people interested... more

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Peraturan Pemerintah Republik Indonesia Nomor 21 Tahun 2008 tentang Penyelenggaraan Penanggulangan Bencana

President of the Republic of Indonesia (2008) C1

Government regulation of the Republic of Indonesia number 21 / 2008 about the implementation and application of disaster management in Indonesia

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Namibia Health Accounts 2012/13 Key Findings and Policy Implications

Ministry of Health and Social Services (MOHSS) (2015) C2

This brochure presents health expenditure data by households, public and private institutions for the 2012/13 fiscal year. The Namibia Health Accounts 2012/13 exercise was undertaken by Government of Namibia with support from the United States Agency for International Development (USAID) Namibia Mis... more

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Learning Route in Senegal

Palma, G. Learning Route (LR), SUN (Scaling Up Nutrition) (2020) C2

Strengthening the capacities of SUN Countries by sharing and disseminating good practices in the fight against malnutrition. This report is a summary of the results of the preparation and implementation of the Learning Route (LR) organized jointly by the SUN (Scaling Up Nutrition) Movement’s S... more

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WHO operational handbook on tuberculosis: module 1: prevention: tuberculosis preventive treatment

World Health Organization WHO (2020) C_WHO

The WHO operational handbook on tuberculosis: tuberculosis preventive treatment is the companion, implementation guide to the 2020 WHO guidelines on TB preventive treatment.[1] Just as these guidelines are the first to be released under the rubric of the WHO consolidated TB guidelines, this handbook... more

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CBDRR Framework Participants Handbook

Myanmar Red Cross Society (2013) C1

The CBDRR Training Course is based on the CBDRR Step-by-Step Methodology and its main goal is to teach MRCS Field Staff and MRCS RCVs to use the CBDRR Manual document which acts as a support document for the implementation of CBDRR programs in Myanmar.
- In Part A, the course curriculum is pres... more

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CBDRR Framework Participants Handbook (Burmese Version)

Myanmar Red Cross Society (2013) C1

Philipine Plan of Action to Control Tuberculosis (PhilPACT) recommended

Philipine Plan of Action to Control Tuberculosis (PhilPACT)
recommended