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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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National surgical, obstetric and anesthesia strategic plan (NSOASP) Year 2017-2021

Ministry of Health, Zambia (2017) CC

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UNEPI Immunization Guidelines

Ministry of Health Uganda (2017) C1

Immunization is among the most successful and cost effective public health interventions in preventing a child from dying before celebrating his or her first birthday. It is a priority intervention within Uganda’s minimum health care package which directly contributes to the Ministry of Health vis... more

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The global doctor

Willott C et al. UCL Institute for Global Health and Development Education Research Centre, Institute of Education (2012) C2

This report explores the reasons why global health is critical to medicine and what this means for medical education. It argues that an understanding of global health is important for all students and practicing doctors, rather than being an ‘add-on’ or ‘option’ for specialization.

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Matrice de fonctionnalite du programme pour l'optimisation des Programmes d'agents de santé communautaires

CHW Central; Community Health Impact Coalition; USAID; et al. (2019) C2

Cet outil peut être utilisé pour améliorer la qualité du programme ASC. Pour identifier et combler les lacunes dans la conception et la mise en œuvre du programme ASC, veuillez compléter les informations ci-dessous

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Namibia: Annual Report 2012-2013

Ministry of Health and Social Services (MOHSS) (2014) C1

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Planning Checklist for WCO Readiness

World Health Organization WHO (2017) C_WHO

This guidance has been developed in line with the WHO corporate risk management framework, the WHO business continuity and contingency plans, as well as the Inter-Agency Emergency Response Preparedness Framework. It is based on a common organiza-tional approach and procedures for managing including ... more

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Cambio climático para profesionales de la salud: un libro de bolsillo
recommended

Pan American Health Organisation PAHO (2020) C_WHO

Con esta guía de referencia rápida podrán reconocer con facilidad las enfermedades y efectos secundarios relacionados con el cambio climático, administrar los tratamientos adecuados y aconsejar a las poblaciones expuestas, presentar información actualizada sobre la relación entre los efectos s... more

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Guide for Implementing the Monitoring-Training-Planning (MTP) Approach to Build Skills for Pharmaceutical Management

Rational Pharmaceutical Management Plus Program Management Sciences for Health; USAID (2009) CC

In the mid-1980s, recognizing the limitations of traditional training and that the knowledge and skills acquired are not necessarily applied back in the workplace, MSH developed the Monitoring‐Training-Planning (MTP) approach to assist the Ecuadorian Ministry of Health to implement its Child Survi... more

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Deafness and hearing loss - Fact sheet

World Health Organization (WHO) (2018) C_WHO

Updated March 2018 | Accessed Online March 2018

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Assessing the efficiency of hospitals in Malawi: An application of the Pabón Lasso technique

E.Z Asbu, O. Walker and J. M Kirigia, et al. World Health Organisation (WHO) (2012) C_WHO

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Guidelines for Pharmacovigilance and Medicine Information System in Rwanda

Ministry of Health, Rwanda (2011) C2

The purpose of these guidelines is to help health workers to participate in the process of continuous surveillance of safety and efficacy of the pharmaceutical products which are used in clinical practice, thus help to achieve the ultimate goal to make safer and more effective treatment available to... more

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National Guidelines for Management of Sexually Transmitted and Reproductive Tract Infections

National AIDS Control Programme (NACP) & Reproductive and Child Health Section Ministry of Health and Social Welfare, Tanzania (2007) C1

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Use of high burden country lists for TB by WHO in the post-2015 era

World Health Organization (2015) C_WHO

Discussion paper initially prepared in April 2015 to facilitate feedback, and finalized after the June 2015 meeting of WHO’s Strategic and Technical Advisory Group for TB (STAG-TB).

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Systems approach to monitoring and evaluation guides scale up of the Standard Days Method of family planning in Rwanda

Igras, S., Sinai, I., Mukabatsinda, M., et al. Global Health: Science and Practice (2014) CC

There is no guarantee that a successful pilot program introducing a reproductive health innovation can also be expanded successfully to the national or regional level, because the scaling-up process is complex and multilayered. This article describes how a successful pilot program to integrate the S... more

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Uganda: Integrated Management of Acute Malnutrition Guidelines

Ministry of Health, Republic of Uganda (2010) C1

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Building better immunity: A life course approach to healthy longevity

Pan American Health Organization PAHO (2023) C_WHO

As the Americas undergo profound demographic change and there are more persons aged 65 years or older than children younger than 5 years, it is crucial to recognize that national immunization programs must be redesigned to ensure comprehensive protection for individuals across the lifespan. By adopt... more

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Lesotho: NATIONAL GUIDELINES ON THE USE OF ANTIRETROVIRAL THERAPY FOR HIV PREVENTION AND TREATMENT

Ministry of Health, Government of Lesotho (2016) C2

National Guidelines for HIV & AIDS Care and Treatment (5th Edition)

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Improving the Quality of PrEP Implementation for Adolescent Girls and Young Women: An implementation brief to support programming in Eastern and Southern Africa

World Health Organization WHO, Regional Office of Africa; UNICEF (2021) C_WHO

Adolescent girls and young women (AGYW) remain disproportionately affected by HIV in Eastern and Southern Africa (ESA), with 26 per cent of new infections attributed to this population. AGYW face many personal, social and structural barriers to access, uptake and use of traditional HIV prevention me... more

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Prevention of Mother to Child Transmission of HIV. 2012 Annual Report

Ministry of Health and Child Welfare, Zimbabwe (2013) C1

Cambio climático para profesionales de la salud: un libro de bolsillo recommended

Cambio climático para profesionales de la salud: un libro de bolsillo
recommended