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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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Огляд програм ресоціалізації для споживачів наркотиків серед молоді та підлітків

Євгеній Польщиков, Олександр Красновський, Оксана Панасенко Київський міжнародний інститут соціології, Державна соціальна служба для сім’ї, дітей та молоді, unicef (2010)

Опубліковані результати дослідження, проведеного з метою визначення основних проблем, пов’язаних з реабілітацією/ресоціалізацією наркозалежних та можливостю з�... more

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Anxiety and depression

R.d M. Rapee Encyclopedia on Early Childhood Development (2013) C2

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Infection prevention and control guidance for long-term care facilities in the context of COVID-19: interim guidance, 8 January 2021 (Arabic Version)

World Health Organization WHO (2021) C_WHO

This document is an update of the guidance published on 21 March 2020 and contains new evidence and guidance.

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Ethics in epidemics, emergencies and disasters: research, surveillance and patient care: training manual

World Health Organization (WHO) (2015) C_WHO

Responses to epidemics, emergencies and disasters raise many ethical issues for the people involved, including public health specialists and policy makers. This training manual provides material on ethical issues in research, surveillance and patient care in these difficult contexts.

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Psychosocial interventions for the management of cannabis dependence [Updated 2015]

mhGAP; WHO (2015) C_WHO

SCOPING QUESTION: Which psychosocial interventions are effective in the management of cannabis dependence?

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Справочник базовойи нформации ВОЗ по психическому здоровью, правам человека и законодательству

Melvyn Freeman, Michelle Funk, Soumitra Pathare et al. World Health Organization (2005) C_WHO

В Справочнике приводятся три ключевых элемента эффективного законодательства: контекст, содержание и процесс, – другими словами, «почему», «что» и «как» должно бы... more

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Global priorities for climate change and mental health research

Fiona Charlson, Suhailah Ali, Jura Augustinavicius et al. Environment International (2022) CC

Compared with other health areas, the mental health impacts of climate change have received less research attention. The literature on climate change and mental health is growing rapidly but is characterised by several limitations and research gaps. In a field where the need for designing evidence-b... more

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Decentralized Supervision of Community Health Programs: Using LQAS in Two Districts of Southern Nepal

Joseph J. Valadez and Babu Ram Devkota (2002) C1

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A Checklist for Implementing Rural Pathways to Train, Develop and Support Health Workers in Low and Middle-Income Countries

O'Sullivan, B.; et al. (2020) CC

Front. Med., 27 November 2020 | https://doi.org/10.3389/fmed.2020.594728. The Checklist included eight actions for implementing rural pathways in LMICs: establishing community needs; policies and partners; exploring existing workers and scope; selecting health workers; education and training; workin... more

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Ten facts about land systems for sustainability

Meyfroidt, P.; et al. (2022) CC

PNAS 2022 Vol. 119 No. 7 e2109217118

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Trends in UK meat consumption: analysis of data from years 1–11 (2008–09 to 2018–19) of the National Diet and Nutrition Survey rolling programme

Stewart C.; Piernas C.; Cook B.; et al. (2021) CC

High meat consumption, particularly red meat and processed meat, negatively affects our health, while meat production is one of the largest contributors to global warming and environmental degradation. The aim of our study was to explore trends in meat consumption within the UK and the associated ch... more

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G3. Uso de otras sustancias

Wai-him Cheung, Anna Kit-sum Lam & Se-fong Hung IACAPAP (2015) CC

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Доклад ВОЗ о глобальной табачной эпидемии, 2009 год- Создание среды, свободной от табачного дыма

World Health Organization (2010) C_WHO

Доклад ВОЗ о глобальной табачной эпидемии, 2009 год: Создание среды, свободной от табачного дыма, – второй из серии докладов ВОЗ, в которых определяется состояние таб... more

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Fact Sheet on Breast Cancer in Women

Cancer Association of South Africa (CANSA) (2021) CC

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Решение проблем коморбидности между психическими расстройствами и основными неинфекционными заболеваниями

World Health Organization WHO; Regional Office for Europe (2017) C_WHO

Addressing comorbidity between mental disorders and major noncommunicable diseases (Russian Version)

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WHO recommendations on induction of labour, at or beyond term

World Health Organization WHO (2022) C_WHO

The primary audience for these recommendations includes health professionals who are responsible for developing national and local health-care guidelines and protocols and health workers involved in the provision of care to women and their newborns during pregnancy, labour and childbirth; this inclu... more