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Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Minja, N.W.; Nakagaayi, D.; Aliku, T. et al. Frontiers in Cardiovascular Medicine (2022) CC

In 2015, the United Nations set important targets to reduce premature cardiovascular disease (CVD) deaths by 33% by 2030. Africa disproportionately bears the brunt of CVD burden and has one of the highest risks of dying from non-communicable diseases (NCDs) worldwide. There is currently an epide...miological transition on the continent, where NCDs is projected to outpace communicable diseases within the current decade. Unchecked increases in CVD risk factors have contributed to the growing burden of three major CVDs—hypertension, cardiomyopathies, and atherosclerotic diseasesleading to devastating rates of stroke and heart failure. The highest age standardized disability-adjusted life years (DALYs) due to hypertensive heart disease (HHD) were recorded in Africa. The contributory causes of heart failure are changing—whilst HHD and cardiomyopathies still dominate, ischemic heart disease is rapidly becoming a significant contributor, whilst rheumatic heart disease (RHD) has shown a gradual decline. In a continent where health systems are traditionally geared toward addressing communicable diseases, several gaps exist to adequately meet the growing demand imposed by CVDs. Among these, high-quality research to inform interventions, underfunded health systems with high out-of-pocket costs, limited accessibility and affordability of essential medicines, CVD preventive services, and skill shortages. Overall, the African continent progress toward a third reduction in premature mortality come 2030 is lagging behind. More can be done in the arena of effective policy implementation for risk factor reduction and CVD prevention, increasing health financing and focusing on strengthening primary health care services for prevention and treatment of CVDs, whilst ensuring availability and affordability of quality medicines. Further, investing in systematic country data collection and research outputs will improve the accuracy of the burden of disease data and inform policy adoption on interventions. This review summarizes the current CVD burden, important gaps in cardiovascular medicine in Africa, and further highlights priority areas where efforts could be intensified in the next decade with potential to improve the current rate of progress toward achieving a 33% reduction in CVD mortality. more

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Network HPN Paper: The role of education in protecting children in conflict

Susan Nicolai and Carl Triplehorn Humanitarian Practice Network (HPN); Overseas Development Institute (ODI) (2003) C1

Education in emergencies is a young area; the evidence of its impact is often anecdotal, and although its status as a humanitarian concern has gained legitimacy in recent years, it has yet to be accepted across the humanitarian community. Much more needs to be done to enhance our understanding of t... more

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Protocolo para evaluar la situación del agua, el saneamiento y la higiene en establecimientos de salud con atención a la resiliencia al clima

Organización Mundial de la Salud OMS (2022) C_WHO

El objetivo de este protocolo es facilitar la evaluación de los establecimientos de salud de América Latina y el Caribe en lo relativo a agua potable, alcantarillado, saneamiento, higiene, residuos sólidos y limpieza.

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Prise en charge de la tuberculose en milieu carceral sénégalais: États des lieux et recommendations - Rapport final

Programme national de lutte contre la tuberculose - Sénégal (2017) C2

La prise en charge de la tuberculose représente un véritable défi en milieu carcéral et l’organisation de la continuité des soins à la sortie un enjeu majeur. Comme tout être humain, les détenus ont le droit de jouir du meilleur état de santé physique et mental possible. Ce droit est gar... more

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How can the health systems of Guinea, Sierra Leone and Liberia be improved?

DIFÄM (German Institute for Medical Mission); SLADEA (Sierra Leone Adult Education Association), et al. (2016) C1

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Surto de Cólera: Avaliar a resposta a um surto e melhorar a preparação

Organização Mundial da Saúde (2006) C_WHO

A resposta a um surto de cólera focaliza geralmente os aspectos médicos que são importantes para reduzir a mortalidade. Contudo, há necessidade de uma resposta mais abrangente para limitar a propagação da doença. Como a resposta a surtos é geralmente dirigida por profi ssionais médicos, pod... more

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Incidences socio-économiques d’Ébola sur l’Afrique, éd. rév.

Nations Unies (ONU), Commission économique pour l’Afrique (2015) C1

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Guidelines for the management of pregnant and breastfeeding women in the context of Ebola virus disease
recommended

World Health Organization WHO (2020) C1

To save the lives of mothers and their babies, mitigate complications, and limit the spread of disease, it is critical that recommendations are made on the prevention, treatment, and surveillance of women who are exposed to EVD, acquire EVD during pregnancy or breastfeeding, or survive EVD with ongo... more

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Knowledge, attitudes and practices about human African trypanosomiasis and their implications in designing intervention strategies for Yei county, South Sudan

Bukachi, SA.; Mumbo, AA.; Alak, ACD.; Sebit, W.; Rumunu, J. et al. PLOS Neclected Tropical Diseases (2018) CC

A clear understanding of the knowledge, attitudes and practices (KAP) of a particular community is necessary in order to improve control of human African trypanosomiasis (HAT).New screening and diagnostic tools and strategies were introduced into South Sudan, as part of integrated delivery of primar... more

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A guidance document for medical teams responding to health emergencies in armed conflicts and other insecure environments

World Health Organisation (WHO) (2023) C_WHO

Medical care for people caught up in armed conflict and other insecure environments saves lives and alleviates suffering. It is one of the most immediate and high priority needs of an affected population and is often the first type of response activated and/or requested by authorities and affected c... more

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Improving Brain Tumor Research in Resource-Limited Countries: A Review of the Literature Focusing on West Africa

S. I. Ngulde; F. Fezeu; A.Ramesh; et al. PMC; Cureus (2015) C2

Cureus. 2015 Nov; 7(11): e372. Published online 2015 Nov 3. doi: 10.7759/cureus.372 PMCID: PMC4671837 PMID: 26677422

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IACAPAP Textbook of Child and Adolescent Mental Health - Section G Substance use disorders

J. M Rey IACAPAP (2012) C2

Alcohol misuses Substance use disorders Chapter G.1

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Managing stress in humanitarian workers
recommended

Antares Foundation (2012) C1

Guidelines for good practice. 3rd edition The Guidelines for Good Practice are intended to help organizations define their own needs in relation to stress management and develop their own staff care system. The process will be different for each organization. National and international agencies, bi... more

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Guía de la OMS sobre detección y tratamiento de la sífilis en embarazadas

Pan American Health Organization (PAHO) (2020) C1

Las infecciones de transmisión sexual (ITS) constituyen un importante problema de salud pública en todo el mundo, que afecta a la calidad de vida y se acompaña de importantes niveles de morbilidad y mortalidad. Estas infecciones influyen directamente en la salud infantil y reproductiva porque tra... more

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Manual de construcción manteniemento de letrinas

Nordic Development Fund; et al. (2019) C1

EN BARRIOS POPULARES DE TEGUCIGALPA

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Directrices sobre la atención para el aborto

Organización Mundial de la Salud OMS (2022) C_WHO

El objetivo de estas directrices es presentar el conjunto completo de recomendaciones y declaraciones de buenas prácticas de la OMS sobre el aborto

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On the COVID-19 pandemic frontlines: Discussion paper with policy recommendations and compendium of resources

The International Federation of Red Cross and Red Crescent Societies IFRC (2021) CC

The primary audience of this report with the compendium of resources are youth engagement practitioners in the Red Cross Red Crescent National Societies as well as technical experts and policy makers across the humanitarian landscape that thrive for meaningful interventions with and for children, ad... more

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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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Moçambique Inquérito Demográfico e de Saúde 2011

Ministerio da Saude (MISAU), Instituto Nacional de Estatística (INE) e ICF International (ICFI) (2013) C2

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Moçambique Relatório Anual 2016

UN Children's Fund UNICEF (2017)

Guidelines for the management of pregnant and breastfeeding women in the context of Ebola virus disease recommended

Managing stress in humanitarian workers recommended

Guidelines for the management of pregnant and breastfeeding women in the context of Ebola virus disease
recommended

Managing stress in humanitarian workers
recommended