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Covid-19 pandemic impact on maternal and child health services access in Nampula, Mozambique: a mixed methods research

das Neves Martins Pires P.H. , Macaringue C. , Abdirazak A. et al. BMC Health Services (2021) CC

The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the end of March 2020. This has limited people's movements and reduced public services, leading ...to a decrease in the number of people accessing health care facilities. An implementation research project, The Alert Community for a Prepared Hospital, has been promoting access to maternal and child health care, in Natikiri, Nampula, for the last four years. Nampula has the second highest incidence of Covid-19. The purpose of this study is to assess the impact of Covid-19 pandemic Government restrictions on access to maternal and child healthcare services. We compared health centres in Nampula city with healthcare centres in our research catchment area. We wanted to see if our previous research interventions have led to a more resilient response from the community. METHODS: Mixed-methods research, descriptive, cross-sectional, retrospective, using a review of patient visit documentation. We compared maternal and child health care unit statistical indicators from March-May 2019 to the same time-period in 2020. We tested for significant changes in access to maternal and child health services, using KrushKall Wallis, One-way Anova and mean and standard deviation tests. We compared interviews with health professionals, traditional birth attendants and patients in the two areas. We gathered data from a comparable city health centre and the main city referral hospital. The Marrere health centre and Marrere General Hospital were the two Alert Community for a Prepared Hospital intervention sites. RESULTS: Comparing 2019 quantitative maternal health services access indicators with those from 2020, showed decreases in most important indicators: family planning visits and elective C-sections dropped 28%; first antenatal visit occurring in the first trimester dropped 26%; hospital deliveries dropped a statistically significant 4% (p = 0.046), while home deliveries rose 74%; children vaccinated down 20%. CONCLUSION: Our results demonstrated the negative collateral effects of Covid-19 pandemic Government restrictions, on access to maternal and child healthcare services, and highlighted the need to improve the health information system in Mozambique. more

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Ending the neglect to attain the Sustainable Development Goals: A road map for neglected tropical diseases 2021–2030
recommended

World Health Organization WHO (2021) C_WHO

The road map sets global targets and milestones to prevent, control, eliminate or eradicate 20 diseases and disease groups as well as cross-cutting targets aligned with the Sustainable Development Goals. Three foundational pillars will support global efforts to achieve the targets: accelerate progra... more

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Global projections of temperature-attributable mortality due to enteric infections: a modelling study

Chua, P.L.C. ; V. Huber, C. F.Sheng Ng et al. The Lancet (2021) CC

Mortality due to enteric infections is projected to increase because of global warming; however, the different temperature sensitivities of major enteric pathogens have not yet been considered in projections on a global scale. We aimed to project global temperature-attributable enteric infection mor... more

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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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Stratégies d’endiguement : enseignements tirés de la première riposte à la COVID-19 dans cinq pays africains

AHOP WHO Regional Office for Africa (2021) CC

Le nombre de cas de COVID-19 augmente à nouveau, l’Afrique du Sud comptant pour près de la moitié de tous les cas confirmés de la Région africaine de l’OMS. La menace de nouveaux variants plane, et la faible couverture vaccinale soulève des questions concernant les mesures qui devront êtr... more

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Global surveillance, prevention and control of chronic respiratory diseases - a comprehensive approach

Bousquet, J.; Khaltaev, N. (2007) C_WHO

Chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease, kill more than four million people every year and affect hundreds of millions more. These diseases erode the health and well-being of the patients and have a negative impact on families and societies. Women ... more

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Barriers to Healthcare Services for People with Disabilities in Developing Countries: A Literature Review

Judith Baart, J., and F. Taaka Disability, CBR & Inclusive Development Journal (DCIDJ) (2017) CC

Conclusion: To ensure that people with disabilities can successfully access the necessary health services, the barriers on the demand side (the individuals requiring healthcare) as well as the barriers that are part of the healthcare system, should be attended to.

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Testing for Ethnic Discrimination in Outpatient Health Care: Evidence from a Field Experiment in Germany

M. Halla; Kah, C.; Sausgruber, R. Johannes Kepler University Linz (2022) CC

To test for ethnic discrimination in access to outpatient health care services, we carry out an email-correspondence study in Germany. We approach 3,224 physician offices in the 79 largest cities in Germany with fictitious appointment requests and randomized patients’ characteristics. We find t... more

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The Inter-American Convention on Protecting the Human Rights of Older Persons as a tool to promote the Decade of Healthy Aging

Pan American Health Organization (PAHO) (2023) C_WHO

This report aims to outline the current available knowledge on the health and wellbeing of older persons in the Region of the Americas during the United Nations Decade of Healthy Ageing (2021-2030). It also seeks to guide political actions towards ensuring the human rights of older persons, and desc... more

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Low-Threshold Psychosocial Support for Refugees and Asylum Seekers. A Project Guide
recommended

Zellmann, H. Médecins Sans Frontières (2018) C1

This guide is strongly practice -oriented and intended as an open resource when replicating similar methods of psychosocial care in other projects. It describes the steps in the development of our pilot project "Low threshold psychosocial support for refugees and asylum seekers’ in... more

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HTLV-1 Infection and Adult T-Cell Leukemia/Lymphoma - A Tale of Two Proteins: Tax and HBZ

Chou-Zen Giam; Semmes, Oliver John (2016) CC3

published in: Viruses 2016, 8, 161

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Public Health Aspects of Mental Health Among Migrants and Refugees: A Review of the Evidence on Mental Health Care for Refugees, Asylum Seekers and Irregular Migrants in the WHO European Region

Priebe, S.; D. Giacco, and Rawda El-Nagib. World Health Organization WHO; Regional Office Europe (2016) C_WHO

Health Evidence Network Synthesis Report, No. 47 The increasing number of refugees, asylum seekers and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during and after migration. ... more

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Enhancing Pharmacovigilance in Sub‑Saharan Africa Through Training and Mentoring: A GSK Pilot Initiative in Malawi

Jusot, V.; Chimimba, F.; Dzabala, N. et al. Drug Safety (2020) CC

Introduction Pharmacovigilance (PV) systems to monitor drug and vaccine safety are often inadequate in sub-Saharan Africa. In Malawi, a PV enhancement initiative was introduced to address major barriers to PV. Objective The objective of this initiative was to improve reporting of adverse events (A... more

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TMT Handbook: triage, monitoring and treatment of people exposed to ionising radiation following a malevolent act
recommended

Roja-Palma, C.; A. Liland; A.Naess Herstad; et al. WHO; STUK; SCK-CEN; et al. (2022) C_WHO

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L’Approvisionnement des établissements de santé en contraceptifs: 10 Questions à considérer par les groupes communautaires

USAID, Deliver Project Christian Connections for International Health (CCIH) (2012) C1

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Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia

Karen Weidert, Amanuel Gessessew, Suzanne Bellet al. (2017) CC

Glob Health Sci Pract; March 24, 2017, Vol. 5, No. 1, pp. 44-56

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Measuring the Success of Family Planning Initiatives in Rwanda: A Multivariate Decomposition Analysis.

uhoza, Dieudonné Ndaruhuye, Pierre Claver Rutayisire, and Aline Umubyeyi. Calverton, Maryland, USA: ICF International (2013) C2

DHS Working Papers No. 94 - This study described the family planning initiatives in Rwanda and analyzed the 2005 and 2010 RDHS data to identify factors that contribute to the increase in contraceptive use. The Blinder-Oaxaca technique was used to decompose the contributions of women’s characterist... more

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Infection prevention and control for the safe management of a dead body in the context of COVID-19: interim guidance

World Health Organization WHO (2020) C_WHO

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Developing drinking-water quality regulations and standards: general guidance with a special focus on countries with limited resources

World Health Organization (WHO) (2018) CC

Drinking-water quality regulations and standards developed or revised in accordance with this guidance will reflect the best practices identified in the WHO Guidelines for Drinking-water Quality to most effectively protect public health. Moreover, the regulations and standards will consider local ne... more

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Engaging Men in HIV and AIDS at the Service Delivery Level: A Manual for Service Providers

EngenderHealthThe ACQUIRE Project (2008)

Designed for trainers of health workers, this manual offers skills-building sessions on developing more “male-friendly” health services. Utilizing participatory and experiential activities, the manual examines attitudinal and structural barriers that inhibit men from seeking HIV and AIDS service... more

Ending the neglect to attain the Sustainable Development Goals: A road map for neglected tropical diseases 2021–2030 recommended

Low-Threshold Psychosocial Support for Refugees and Asylum Seekers. A Project Guide recommended

TMT Handbook: triage, monitoring and treatment of people exposed to ionising radiation following a malevolent act recommended

Ending the neglect to attain the Sustainable Development Goals: A road map for neglected tropical diseases 2021–2030
recommended

Low-Threshold Psychosocial Support for Refugees and Asylum Seekers. A Project Guide
recommended

TMT Handbook: triage, monitoring and treatment of people exposed to ionising radiation following a malevolent act
recommended