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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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Cancer in sub-Saharan Africa
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Ngwa, W.; et al. Lancet Oncology Commission (2022) C2

Lancet Oncol 2022; 23: e251–312Published OnlineMay 9, 2022 https://doi.org/10.1016/S1470-2045(21)00720-8 In sub-Saharan Africa (SSA), urgent action is needed to curb a growing crisis in cancer incidence and mortality. Without rapid interventions, data estimates show a major increase in cancer mo... more

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HEARTS. Technical package for cardiovascular disease management in primary health care. Evidence-based treatment protocols

World Health Organization WHO, et al. (2018) C_WHO

In many low- and middle-income countries, there is a wide gap between evidencebased recommendations and current practice. Treatment of major CVD risk factors remains suboptimal, and only a minority of patients who are treated reach their target levels for blood pressure, blood sugar and blood choles... more

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Health access and utilization survey: Access to Health Services in Jordan among Syrian Refugees - Follow up Survey, December 2017

UN High Commissioner for Refugees (2018) C1

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What drives the Community Health services in Kenya Results of a recent mapping exercise of Community Health Units in three regions of Turkana North, Greater Machakos, and Kibera

HRH Advocacy Project World Vision International Kenya (2015) C2

Position Paper 1

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L’utilisation de l’artésunate rectal comme traitement pré-transfert pour le paludisme grave à P. falciparum : note d'information

Organisation Mondiale de la Santé OMS (2023) C_WHO

Update, 2023. En 2021, les résultats préliminaires des études d’observation du projet CARAMAL (Community Access to Rectal Artesunate for Malaria) n’ont pas confirmé l’impact sur la mortalité observé dans l’essai contrôlé de 2009. Par conséquent, en janvier 2022, l’OMS a publié un... more

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The WHO Safe Childbirth Checklist
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World Health Organization (2015) C_WHO

The WHO Safe Childbirth Checklist is a tool intended to improve the quality of care for women and babies at the time of childbirth. The Checklist is an organized list of evidence-based essential birth practices targeting major causes of maternal deaths, intrapartum-related stillbirths and neonatal d... more

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Lista OMS de verificación de la seguridad del parto

Organización Mundial de la Salud OMS (2015) C_WHO

La Lista OMS de verificación de la seguridad del parto es un instrumento destinada a mejorar la calidad de la atención provista a las mujeres y bebés durante el parto. Es una lista estructurada de prácticas esenciales de atención del parto con fundamento científico que se centra en las princip... more

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Nepal: Treatment Guidelines for Outpatient Treatment in Community Based Management of Acute Malnutrition

Government of Nepal, Nepal Nutrition and Food Security Portal (2009) C1

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Wheelchair Service Training Package Poster

WHP; USAID (2013) C_WHO

Following the release of the Wheelchair Service Training Package – Basic level (WSTP-B), WHO in partnership with United States Agency for International Development (USAID) has developed the Wheelchair Service Training Package – Intermediate Level (WSTP-I). WSTP-I is the second part of the WHO w... more

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India: Integrated Management of Neonatal and Childhood Illness (f-IMNCI) - Participant's Manual (Module 6/9)

Ministry of Health and Family Welfare, Government of India; WHO; UNICEF (2009) C_WHO

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UNFPA Regional Response to Ukraine Emergency. Situation Report #16. 17 February 2023

United Nations Population Fund (UNFPA) (2023) C1

NFPA continues to work with partners to respond to the Ukraine emergency. Highlights from the month of January include: - The #TrainOfHope launched between Kyiv and Chisinau is a lifeline, providing refugees, including many women with children, both a route to safety and a way back home. - When t... more

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India: Integrated Management of Neonatal and Childhood Illness (f-IMNCI) - Participant's Manual (Module 3/9)

Ministry of Health and Family Welfare, Government of India; WHO; UNICEF (2009) C_WHO

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Integrated Management of Neonatal and Childhood Illness - Identify Treatment for the Sick Child (Module 6/9)

World Health Organization WHO; UNICEF (2009) C_WHO

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Integrated Management of Neonatal and Childhood Illness - Identify Treatment for the Sick Young Infant (Module 3/9)

World Health Organization WHO; UNICEF (2009) C_WHO

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COVID-19 clinical care pathway (‎CARE)‎: confirm SARS-CoV-2 infection, assess symptoms, risk factors and severity, respond with appropriate care and treatment, evaluate clinical response and recovery

World Health Organization WHO (2022) CC

The COVID-19 CARE pathway is a living tool to support health care workers visualize the current clinical and therapeutic recommendations to be considered in the care planning for patients with COVID-19. The COVID-19 CARE pathway is aligned with the eighth version of the WHO Therapeutics and COVID... more