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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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Financing for Sustainable Development Report 2020

Inter-agency Task Force on Financing for Development United Nations (UN) (2020) CC

The 2020 Financing for Sustainable Development Report, the fifth report of the Inter-agency Task Force on Financing for Development, provides a comprehensive assessment of the state of sustainable finance. Prepared by more than 60 agencies of the United Nations system and partner international organ... more

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South-East Asia regional vaccine action plan 2016-2020

World Health Organization (WHO), Regional Office for South-East Asia (2018) C_WHO

The current SEARVAP (South-East Asia regional vaccine action plan) describes a set of regional goals and objectives for immunization and control of vaccine-preventable diseases for 2016 – 2020 and highlights priority actions, targets and indicators that address the specific needs and challenges of... more

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Nigeria: National Strategic Health Development Plan (NSHDP) 2010 - 2015

Federal Ministry of Health Nigeria (2010) C1

External Link

Antimicrobial Resistance: Challenges and Perspectives

Doyle, M.P.; G. H. Loneragan, H. M. Scott et al. (2006) C2

Comprehensive Reviews in Food Science and Food Safety, Vol.12 (2013) pp.234-248 In 2006, the Institute of Food Technologists (IFT) published an Expert Report entitled “Antimicrobial Resistance: Implications for the Food System” (IFT 2006). That report summarized current scientiﬁc knowledge pe... more

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Charting the Course of Education and HIV

UNESCO Publishing (United Nations Educational, Scientific and Cultural Organization) (2014) C2

Education on the move

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India: National Programme for the Control of Blindness Guidelines

National Rural Health Mission (2009) C1

Guidelines for State Health Society and District Health Society

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Towards disability - inclusive education

Saeboenes, A.-M.; et al. Expert Group on Disability (2015) CC

Background paper for the Oslo Summit on Education for Development. This paper covers the four topics of the Oslo Summit: investment in education, quality of learning, education in emergencies and girls’ education. Disability continues to be one of the primary causes of educational disadvantage a... more

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Food Security Program Lifecycle Toolkit

Food for the Hungry (2006) CC

It is our hope and prayer that the guidance and multiple tools provided herein to manage the entire lifecycle of a food security program are useful to our food security staff, our local partners, and our fellow international Cooperating Sponsors throughout the world.

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Kenya: National Health Accounts 2012/2013

Ministry of Health (2013) C1

External Link

The burden of cancers and their variations across the states of India: the Global Burden of Disease Study 1990–2016

ndia State-Level Disease Burden Initiative Cancer Collaborators (2018) CC

Lancet Oncol 2018 Published Online September 12, 2018 http://dx.doi.org/10.1016/S1470-2045(18)30447-9

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Social Protection and Disability in Kenya. Working paper

Kabare K. Development Pathways (2018) C1

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From Research to Action: Advancing Prevention and Response to Violence against Children: Report on the Global Violence against Children Meeting

UNICF (2014)

Growing evidence indicates that large proportions of children around the world experience physical, sexual and emotional violence every year, with enormous implications for human rights, public health and economic and social development.1 Over the last five years, national governments and Together f... more

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Rwanda 21-25 July 2014: Epidemiological review and impact analysis of tuberculosis in Rwanda

Klinkenberg, E KNCV TUBERCULOSIS FOUNDATION (2014) C2

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Towards intensified African Union–United Nations cooperation for the elimination of sexual and gender-based violence and protecting the health and rights of women and children in humanitarian settings

UNAIDS (Joint United Nations Programme on HIVAIDS); African Union; H6 Partnership (2018) C2

Vanquishing violence and vulnerability in humanitarian settings Background paper for the joint African Union–UNAIDS (in capacity of serving Chair of H6) high-level side event at the 73rd United Nations General Assembly, 24 September 2018, at UNHQ, Conference Room 3

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Integrated School Health Policy

Department of Health & Department of Basic Education, Republic of South Africa (2012) C2

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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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Education in Emergencies: Including everyone

Inter-Agency Network for Education in Emergencies (2010) CC

INEE pocket gu ide to inclusive education. This guide is aimed at anyone working to provide, manage or support education services in emergencies and complements the INEE Minimum Standards. The Pocket Guide to Inclusive Education outlines useful principles for an inclusive education approach in... more

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Rwanda: shaping our development - ECONOMIC DEVELOPMENT AND POVERTY REDUCTION STRATEGY II (2013-2018) - Abridged version

Ministry of Finance and Economic Planning (MINECOFIN), Rwanda (2013) C2

The Second Economic Development and Poverty Reduction Strategy (EDPRS 2) is a launch into the home strait of our Vision 2020. We are faced with new challenges of ensuring greater self reliance and developing global competitiveness. Conscious of these challenges, we forge ahead knowing that working t... more

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Nepal: SAARC Regional Strategy on HIV/AIDS 2013-2017

SAARC Tuberculosis and HIVAIDS Centre Nepal (2012) C1