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Where there is no psychiatrist A mental health care manual

PATEL, Vikram
HANLON, Charlotte
March 2018

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This is a practical manual about mental health care, aimed at community health workers, primary care nurses, social workers and primary care doctors, particularly in low resource settings. It describes more than 30 clinical problems associated with mental illness, using a problem-solving approach to guide the reader through their assessment and management. It addresses the lack of understanding of mental health among many health workers. Mental health issues as they arise in specific contexts are described - in refugee camps, in school health programmes, as well as in mental health promotion. The final section helps the reader to personalise for a particular location, for example, by entering local information on voluntary agencies, the names and costs of medicines and words in the local language for symptoms.

 

This product is an update of the first edition 2003. It is also available as Open Access.

Dengue fever

PACIFIC MEDICAL TRAINING
2016

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Symptoms of dengue fever, dengue hemorrhagic fever and dengue hemorrhagic shock are listed. The epidemiology of dengue is outlined and a map shows countries where there is risk of dengue infection worldwide. Precautions to prevent dengue and what to do if you contract dengue whilst travelling are outlined.    

Manual for the health care of children in humanitarian emergencies

WORLD HEALTH ORGANIZATION (WHO)
2008

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These guidelines are to assist in the care of children in emergencies. They are designed to serve as a reference manual for the evaluation and management of children in emergencies, and as the basis for the training of health care workers. The target audience is first level health workers who provide care to children under the age of 5 years. Physicians and health care workers with more advanced training are referred to the WHO Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Illnesses with Limited Resources (2005)

Age-friendly primary health care centres toolkit

WORLD HEALTH ORGANIZATION (WHO)
2008

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This toolkit aims to improve the primary health care response for older persons. The information presented assists health care workers in the diagnosis and management of chronic diseases and the four main issues of memory loss, urinary incontinence, depression and falls/immobility that often impact people as they age. The toolkit contains a number of instruments that can be used by primary health care workers to assess and address older persons' health, such as evaluation forms, slides, figures, graphs, diagrams, scale tables, country guidelines, exam sheets, screening tools, cards, and checklists
Note: The link provided also contains Annex 1: Trainers guide for normal ageing and communication, a Normal Ageing power point presentation and Communication with older people power point presentation

The relationship between detection delay and impairment in leprosy control : a comparison of patient cohorts from Bangladesh and Ethiopia

VAN VEEM, Natasja H J
MEIMA, Abraham
RICHARDUS, Jan H
December 2006

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"It is acknowledged that longer delays between first symptoms and diagnosis result in increased impairment in newly detected leprosy patients. However, it is unclear whether detection delay in relation to impairment can be used as a general or absolute performance indicator of leprosy control programmes. It is unknown whether similar delays always result in similar proportions of impairment. Therefore, the present study examined the quantitative relationship between delay and impairment in two different patient populations"
Leprosy Review, Vol 77, Issue 4

IMCI : what can we learn from an innovation that didn’t reach the poor?

GWARTKIN, Davidson
October 2006

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In this editorial, the author comments on the feasibility of the Integrated Management of Childhood Illness (IMCI) strategy of the World Health Organization aimed at serving the poor. He analyses the reasons behind the failure of IMCI strategy to reach the poor. According to the author, IMCI failed due to several faults in its implementation including its initiation in well-off areas, a horizontal approach, and bad financial infrastructure of the poor regions
Bulletin of the World Health Organization, 84(10)

Normalising testing : normalising AIDS

CAMERON, Edwin
June 2006

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This is an abridged version of a speech made as a tribute to Ronald Louw Memorial Campaign at the launch of a campaign called 'Get Tested, Get Treated'. It suggests that stigma, discrimination and unnecessary suffering can be combatted by supporting the normalisation of AIDS, which in turn would encourage earlier diagnosis. The author calls for the re-medicalisation of the diagnosis of HIV, and advocates for routine HIV testing as long as three conditions are met: i) ART is avalable; ii) diagnosis of positive status doesn't lead to discrimination; iii) confidentiality is guaranteed. This brief article makes a valuable contribution to the debate around HIV testing, stigma and issues of confidentiality

TB control in China

HEALTHLINK WORLDWIDE
February 2006

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This paper considers findings from EQUI-TB's work in China. Using a range of methods, researchers uncovered critical challenges facing TB control in China, including economic and social barriers, how to support vulnerable people including rural-to-urban migrants and delays in diagnosis and treatment

Comprehensive cervical cancer control : a guide to essential practice

WORLD HEALTH ORGANIZATION
2006

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"This publication - produced by WHO and its partners - is designed to provide comprehensive practical advice to health care providers at all levels of the health care system on how to prevent, detect early, treat and palliate cervical cancer. In particular, the Guide seeks to ensure that health care providers at the primary and secondary levels will be empowered to use the best available knowledge in dealing with cervical cancer for the benefit of the whole community."

Global strategy for further reducing the leprosy burden and sustaining leprosy control activities 2006-2010 : operational guidelines

WORLD HEALTH ORGANIZATION (WHO) : REGIONAL OFFICE FOR SOUTH-EAST ASIA
2006

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The purpose of these guidelines is to help managers of national health services to implement the new Global Strategy in their own countries. They will help managers to choose which activities can be carried out at the primary health care level and for which aspects of care patients will have to be referred. They suggest a greater emphasis on the assessment of disability at diagnosis, so that those at particular risk can be recognised and managed appropriately. They also cover prevention of disability, rehabilitation, recording and reporting and programme management. The French version of the guidelines is an unofficial translation

T@lemed : a telehealth case study project based on ultrasound images

DELAZARI BINOTTO, Alécio Pedro
SACHPAZIDIS, Ilias
SOARES TORRES, Márcio
et al
2005

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The growth of wired and wireless Internet (including communication via satellite) in Brazil and the recent advance of image compression methods allows rapid tele-consultation based on medical images. One of the most challenging problems in telemedicine is the real-time tele-consultation in case of emergency. In this brief paper, the ongoing T@lemed Project in the Brazilian State of Rio Grande do Sul is described and preliminary results from the first month of operation are presented

Approaches to treating malaria anaemia

BATES, Imelda
July 2004

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This article forms part of the research conducted by the Malaria Knowledge Programme at the Liverpool School of Tropical Medicine. The article considers the prevalence and causes of anaemia in patients with malaria. It looks at diagnosis, treatment and blood transfusions and the prevention of anaemia through clinical detection and the use of bednets to prevent malaria

Handbook on paediatric AIDS in Africa

TINDYEBWA, Denis
et al
2004

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This handbook intends to provide users in resource-poor countries with a tool that can be adapted to their needs. It follows the four principles of the United Nations Convention on the Rights of the Child and aims to provide a simple, accessible and practical handbook for health workers involved in preventing infection and caring for children infected and affected by HIV. It includes substantial chapters on caring for HIV-exposed and HIV-infected children, infants and orphans; diagnosis and the clinical stages of HIV infection; clinical conditions associated with HIV (diarrhoea, malnutrition, neurological manifestations, skin manifestations and more); pulmonary conditions; anti-retroviral therapy for children; youth issues, long-term and terminal care planning; psychosocial support. The primary targets are medical students and their lecturers, nurses, clinicians, community health workers and other service providers in resource poor settings where there is a significant HIV and AIDS burden

Improving the quality of malaria diagnosis and laboratory services in resource-poor countries

DUNN, Alison
2004

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This policy brief is concerned with improving laboratory services and promoting accurate diagnosis of malaria at community level. Such measures would both save lives and prevent wastage of valuable resources. Increasing levels of resistance to cheap, first-line antimalarials means that many poor countries must promote new, more expensive treatment in the form of Artemisinin-based Combination Therapies (ACTs). The need for improved diagnostic tools that can be used at community level has never been greater. Since 1999, the Malaria Knowledge Programme (MKP) has been working in Malawi and Ghana to increase the effectiveness of laboratory systems and diagnostics for malaria and other common health problems

Chronic HIV care with ARV therapy : interim guidelines for first-level facility health workers

WORLD HEALTH ORGANIZATION (WHO)
January 2004

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These interim guidelines for first-level facility health workers focus on HIV care and ARV therapy. They represent an accessible training tool for health professionals and other stakeholders in low-resource settings, and can be adapted to country specific needs. Topics include HIV diagnosis, clinical care provision, prophylaxis, ARV therapy, management of chronic problems and administration of medications

Malaria over-diagnosis in Africa

HEALTHLINK WORLDWIDE
2004

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'In Africa, 70 per cent of fever cases in children are diagnosed in the home and treated with traditional remedies or drugs bought from local shops. These fevers are presumed to be due to malaria, but comparison of accurately diagnosed cases of malaria with presumed cases of malaria reveal shockingly high rates of over-diagnosis'

Where there is no psychiatrist : a mental health care manual

PATEL, Vikram
2003

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This is a practical manual about mental health care, aimed at community health workers, primary care nurses, social workers and primary care doctors. It describes more than 30 clinical problems associated with mental illness, using a problem-solving approach to guide the reader through their assessment and management. It addresses the lack of understanding of mental health among many health workers

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