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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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De Diagnóstico y tratamiento de la enfermedad Pulmonar Obstructiva Crónica Guía de Práctica Clínica Nacional - 2016

Ministerio de Salud Argentina (2016) C2

El objetivo es proveer al equipo de salud, una guía de diagnóstico y terapéutica clínica, tanto farmacológica como no farmacológica, con recomendaciones basadas en evidencia de la mejor calidad disponible y adaptada al marco local. Los usuarios de la Guía son todos los integrantes del ... more

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HIV and COVID-19 in Latin America and the Caribbean

Garcia, P.J.; et al. (2022) C1

Curr HIV/AIDS Rep. 2022; 19(1): 37–45. Published online 2022 Jan 29. doi: 10.1007/s11904-021-00589-4. COVID-19 has had an unprecedented impact on the cascade-of-care among PLWH in LAC. There is a need for longitudinal studies that assess clinic implication of these pandemic interactions in LAC.

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Precisión diagnóstica de pruebas de detección de antígenos para SARS-Cov-2

Ministerio de Salud, Peru (2021) CC

La presente publicación describe la evidencia científica disponible sobre la precisión diagnóstica de las pruebas rápidas de detección de antígenos para SARS-COV-2. El conocimiento de las pruebas diagnósticas para el coronavirus del síndrome respiratorio agudo grave 2 (SARS-COV-2) sigue evo... more

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Migrantes

FG Consulting Group; C. Daniels; C. Smyth, et al. Stop TB Partnership; UNOPS; END TB (2015) C1

Informe sobre poplaciones clave.

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Carta Enciclica Fratelli tutti

Santo Padre Francisco Vatican Press (2020) CC

Carta Enciclica Fratelli Tutti sobre la fraternidad y la amistad social

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Zika - Boletim Epidemiológico

Secretaria de Vigilância em Saúde − Ministério da Saúde (2015) C1

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Control integral del cáncer cervicouterino

Pan American Health Organization (PAHO), World Health Organization (WHO) (2016)

Guía de prácticas esenciales. Segunda edición

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El Capítulo Científico en Cardio-Oncología de la Sociedad Venezolana de Cardiología: Una hoja de ruta para optimizar la supervivencia y el bienestar cardiovascular del paciente oncológico

Dr. Tulio Núñez Medina, et al. Avances Cardiol (2017) C1

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Mobile Populations

M. Smelyanskaya, J. Duncan (The Focus Group Consulting); C. Daniels, et al. Stop TB Partnership; UNOPS; END TB (2015) C1

Key populations brief.

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Mental Health and COVID-19: Early evidence of the pandemic’s impact

World Health Organization WHO (2022) C_WHO

scientific brief, 2 March 2022

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Operación contra el virus Zika en América: Actualización epidemiologíca #5

International Federation of Red Cross and Red Crescent Societies (2016) CC

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Human African Trypanosomiasis (sleeping sickness): Current knowledge and future challenges

Papagni, R.; et al. (2023) CC

Front. Trop. Dis. , 09 May 2023 Sec. Neglected Tropical Diseases Volume 4 - 2023 | https://doi.org/10.3389/fitd.2023.1087003

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мигранты (Mobile Russian edition)

FG Consulting Group, C. Daniels, C. Smyth et al. UNOPS, Stop TB Partnership et al. (2019) C1

Hесмотря на многочисленные международные договоры и обязательства по защите прав мигрантов в области здравоохранения, эта ключевая затронутая группа населения п�... more

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Prevenção da potencial transmissão do vírus Zika por via sexual
recommended

Organização Mundial da Saùde (2016) C_WHO

Actualização das orientações provisórias 7 de Junho de 2016

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Mobile Populations (Russian edition)

FG Consulting Group; C. Daniels; C. Smyth, et al. Stop TB Partnership; UNOPS; END TB (2015) C1

Key populations brief. МИГРАНТЫ ОСНОВНЫЕ ЗАТРОНУТЫЕ ГРУППЫ НАСЕЛЕНИЯ. КРАТКОЕ РУКОВОДСТВО.

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Toolkit for assessing health system capacity to manage large influxes of refugees, asylum-seekers and migrants

World Health Organization (WHO); Regional Office for Europe UNHCR; IOM (2016) C_WHO

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Zika - Actualización Epidemiológica 25 de agosto de 2017

Pan American Health Organization PAHO; World Health Organization, Regional Office for the Americas (2017) C_WHO

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Carta Encíclilca laudato si'del Santo Padre Francisco sobre el Cuidado de la casa común

Holy Father Francis Vatican Press (2015) C2

Carta del santo padre

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Lineamientos para la acción en salud mental

Ministerio de Salud - Peru (2004) CC

El presente documento tiene como objetivo brindar un conjunto de orientaciones que puedan constituirse en bases de toda la planificación de acciones en salud mental, así como para la elaboración de un nuevo Plan Nacional de Salud Mental. Para ello, en primer lugar, se parte de un Marco Conceptua... more

Prevenção da potencial transmissão do vírus Zika por via sexual recommended

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