scholarly journals WHO Global Strategy in Eradication of Cervical Cancer

2021 ◽  
Vol 5 (3) ◽  
pp. 642-648
Author(s):  
Patiyus Agustiansyah ◽  
Rizal Sanif ◽  
Siti Nurmaini ◽  
Irfannuddin ◽  
Legiran
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Health Problem ◽  
Public Health Problem ◽  
Global Strategy ◽  
High Income ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

WHO has created a global strategy to accelerate the elimination of cervical canceras a public health problem and a world burden. Cervical cancer is a disease thatcan be prevented and cured, as long as it is detected early and treated effectively.Cervical cancer is also a disease that reflects global injustice. The burden isgreatest in low- and middle-income countries, where access to public healthservices is limited and screening and treatment for the disease has not been widelyapplied. In 2018, nearly 90% of all deaths worldwide occurred in low and middleincome countries. Furthermore, the proportion of women with cervical cancer whodie from the disease is more than 60% in these countries, more than double thenumber in many high-income countries, which is only 30%.

scholarly journals WHO Global Strategy in Eradication of Cervical Cancer

2021 ◽  
Vol 5 (9) ◽  
pp. 818-824
Author(s):  
Patiyus Agustiansyah ◽  
Rizal Sanif ◽  
Siti Nurmaini ◽  
Irfannuddin ◽  
Legiran
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Health Problem ◽  
Public Health Problem ◽  
Global Strategy ◽  
High Income ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

WHO has created a global strategy to accelerate the elimination of cervical canceras a public health problem and a world burden. Cervical cancer is a disease thatcan be prevented and cured, as long as it is detected early and treated effectively.Cervical cancer is also a disease that reflects global injustice. The burden isgreatest in low- and middle-income countries, where access to public healthservices is limited and screening and treatment for the disease has not been widelyapplied. In 2018, nearly 90% of all deaths worldwide occurred in low and middleincome countries. Furthermore, the proportion of women with cervical cancer whodie from the disease is more than 60% in these countries, more than double thenumber in many high-income countries, which is only 30%.

scholarly journals COVID-19, Governance, and Conflict: Emerging Impacts and Future Evidence Needs

2021 ◽  
Author(s):  
Siân Herbert ◽  
Heather Marquette
Keyword(s):  
Social Sciences ◽  
Public Health ◽  
High Income ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Social ◽  
Global Nature ◽  
Bodies Of Evidence ◽  
The Impact ◽  
Low And Middle Income

This paper reviews emerging evidence of the impact of COVID-19 on governance and conflict, using a “governance and conflict first” approach in contrast to other research and synthesis on COVID-19 in the social sciences that tends to be structured through a public health lens. It largely focuses on evidence on low- and middle-income countries but also includes a number of examples from high-income countries, reflecting the global nature of the crisis. It is organised around four cross-cutting themes that have enabled the identification of emerging bodies of evidence and/or analysis: Power and legitimacy; Effectiveness, capacity, and corruption; Violence, unrest, and conflict; and Resilience, vulnerability, and risk. The paper concludes with three over-arching insights that have emerged from the research: (1) the importance of leadership; (2) resilience and what “fixing the cracks” really means; and (3) why better ways are needed to add up all the “noise” when it comes to COVID-19 and evidence.

scholarly journals Population genomics of Cryptosporidium hominis across five continents identifies two subspecies that have diverged and recombined during 500 years of evolution

2021 ◽  
Author(s):  
Swapnil Tichkule ◽  
Simone M. Cacciò ◽  
Guy Robinson ◽  
Rachel M. Chalmers ◽  
Ivo Mueller ◽  
...  
Keyword(s):  
Gene Flow ◽  
Low Income ◽  
Population Genomics ◽  
Balancing Selection ◽  
Public Health Problem ◽  
High Income ◽  
Secondary Contact ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

AbstractCryptosporidium is a significant public health problem and one of the primary causes of diarrhoea in humans, particularly in very young children living in low- and middle-income countries. While the zoonotic Cryptosporidium parvum and anthroponotic C. hominis species collectively account for most cases globally, the latter is predominant in low- and middle-income countries. Here, we present a comprehensive whole genome study of C. hominis, comprising 114 isolates from 16 countries within five continents. We detect two highly diverged lineages with a distinct biology and demography that have diverged circa 500 years ago. We consider these lineages as two subspecies, and provisionally propose the names C. hominis hominis (clade 1) and C. hominis aquapotentis (clade 2 or gp60 subtype IbA10G2). C. h. hominis is mostly found in low-income countries in Africa and Asia, and it appears to have recently undergone population contraction. In marked contrast, C. h. aquapotentis was found in high-income countries, mainly in Europe, North America and Oceania, and we reveal a signature of population expansion. Moreover, we detected genomic regions of introgression representing gene flow after a secondary contact between the subspecies from low- and high-income countries. We demonstrate that this gene flow resulted in genomic island of high diversity and divergence, and that this diversity at potential virulence genes is maintained by balancing selection, suggesting that they are involved in a coevolutionary arms race.

scholarly journals Introduction to a special issue on alcohol control policies in low and middle income countries

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Bundit Sornpaisarn ◽  
Kevin D. Shield
Keyword(s):  
Public Health Problem ◽  
Control Policy ◽  
Global Strategy ◽  
World Health ◽  
Special Issue ◽  
Control Policies ◽  
Middle Income ◽  
Middle Income Countries ◽  
Alcohol Control ◽  
Low And Middle Income

Sornpaisarn, B., & Shield, K. (2014). Introduction to a special issue on alcohol control policies in low and middle income countries. The International Journal Of Alcohol And Drug Research, 3(3), 182 – 183. doi:http://dx.doi.org/10.7895/ijadr.v3i3.182In response to the World Health Assembly’s adoption in 2010 of a resolution which endorsed a Global Strategy to Reduce the Harmful Use of Alcohol, many countries, especially those considered low- and middle-income (LMIC), formulated, and in some instances implemented, a variety of alcohol control policies. However, the supporting knowledge and evidence used to evaluate the effectiveness of alcohol control policies stem primarily from high-income countries (HIC) (Babor et al., 2010; World Health Organization, 2010). This lack of knowledge and evidence from LMIC is a considerable public health problem, as differences between the socio-economic and cultural contexts of LMIC and HIC may influence the effectiveness of an alcohol control policy (Anderson et al., 2009; Lachenmeier, 2011).

Injury Prevention Research and Global Child Health

2018 ◽  
pp. 339-358
Author(s):  
Nichole L. Hodges ◽  
Gary A. Smith
Keyword(s):  
Public Health ◽  
Injury Prevention ◽  
High Income ◽  
Public Health Approach ◽  
Unintentional Injuries ◽  
Middle Income ◽  
Mortality And Morbidity ◽  
Middle Income Countries ◽  
The World ◽  
Low And Middle Income

Injuries are a leading cause of death and disability among children throughout the world. It is estimated that 735,500 children and teens younger than 20 years die from unintentional injuries annually. Although injuries are one of the most common causes of pediatric mortality globally, they do not affect all regions of the world equally. Low- and middle-income countries not only experience pediatric injuries at a much higher rate than high-income countries, but they also have greater total injury-related mortality and morbidity. An estimated 97% of all pediatric unintentional injury-related deaths occur in low-and middle-income countries. This chapter will describe the global public health burden and leading causes of unintentional injuries to children. We will also discuss the application of the public health approach and the principles of injury prevention to child injury. Best practices and case studies will be presented to highlight innovative research studies and evidence-based injury prevention strategies that have been implemented in low-, middle-, and high-income countries. The chapter closes with an overview of current research gaps and suggestions for advancing the field. This chapter will not discuss intentional injury specifically, which, in the editors’ assessment, deserves a detailed and comprehensive thesis— not achievable in a single chapter.

scholarly journals Atrial fibrillation in low- and middle-income countries: a narrative review

2020 ◽  
Vol 22 (Supplement_O) ◽  
pp. O61-O77
Author(s):  
Itamar S Santos ◽  
Alessandra C Goulart ◽  
Rodrigo D Olmos ◽  
G Neil Thomas ◽  
Gregory Y H Lip ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Health Outcomes ◽  
Economic Burden ◽  
Stroke Prevention ◽  
Public Health Problem ◽  
High Income ◽  
Narrative Review ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Preventing premature non-communicable disease mortality necessitates a thorough review of one of the most important risk factors for stroke, which is atrial fibrillation (AF). The latter and AF-related stroke are still considered to be problems of high-income countries and are frequently overlooked in low- and middle-income countries (LMICs). In this narrative review, we provide an overview of studies that evaluated at least one of the following determinants of AF burden in LMICs: current epidemiology and trends, stroke prevention, health outcomes, and economic burden. Studies focusing on samples close to the general population (including community- and primary care-based samples) indicate sex-specific prevalence rates up to 7.4% in LMICs. Although AF prevalence is still higher in high-income countries than LMICs, the gap in AF burden between these two groups has been reducing in the past three decades. Oral anticoagulant (OAC) therapy for stroke prevention is underused in LMICs, and there are little data on OAC therapy in relation to stroke risk scores, such as CHA2DS2-VASc. Available data also points to higher morbidity and mortality for patient with AF in LMICs than their counterparts in high-income countries. Data on the consequent economic burden in LMICs is scarce, but it is reasonable to consider it will follow the same trend as that observed for health outcomes. Raising the visibility of AF as a public health problem in LMICs is necessary as a first step to providing adequate care for patients with this condition.

scholarly journals Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low- and Middle-Income Countries

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 1038
Author(s):  
Ana Carolina B. Leme ◽  
Sophia Hou ◽  
Regina Mara Fisberg ◽  
Mauro Fisberg ◽  
Jess Haines
Keyword(s):  
English Language ◽  
Economic Status ◽  
High Income ◽  
Dietary Guidelines ◽  
Systemic Review ◽  
Healthy Children ◽  
Future Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Research comparing the adherence to food-based dietary guidelines (FBDGs) across countries with different socio-economic status is lacking, which may be a concern for developing nutrition policies. The aim was to report on the adherence to FBDGs in high-income (HIC) and low-and-middle-income countries (LMIC). A systematic review with searches in six databases was performed up to June 2020. English language articles were included if they investigated a population of healthy children and adults (7–65 years), using an observational or experimental design evaluating adherence to national FBDGs. Findings indicate that almost 40% of populations in both HIC and LMIC do not adhere to their national FBDGs. Fruit and vegetables (FV) were most adhered to and the prevalence of adhering FV guidelines was between 7% to 67.3%. HIC have higher consumption of discretionary foods, while results were mixed for LMIC. Grains and dairy were consumed below recommendations in both HIC and LMIC. Consumption of animal proteins (>30%), particularly red meat, exceeded the recommendations. Individuals from HIC and LMIC may be falling short of at least one dietary recommendation from their country’s guidelines. Future health policies, behavioral-change strategies, and dietary guidelines may consider these results in their development.

scholarly journals The impact of COVID-19 on the care of people living with noncommunicable diseases in low- and middle-income countries: an online survey of physicians and pharmacists in nine countries

2021 ◽  
Vol 22 ◽  
Author(s):  
Chris Bullen ◽  
Jessica McCormack ◽  
Amanda Calder ◽  
Varsha Parag ◽  
Kannan Subramaniam ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Measures ◽  
The Impact ◽  
Low And Middle Income

Abstract Background: The global COVID-19 pandemic has disrupted healthcare worldwide. In low- and middle-income countries (LMICs), where people may have limited access to affordable quality care, the COVID-19 pandemic has the potential to have a particularly adverse impact on the health and healthcare of individuals with noncommunicable diseases (NCDs). A World Health Organization survey found that disruption of delivery of healthcare for NCDs was more significant in LMICs than in high-income countries. However, the study did not elicit insights into the day-to-day impacts of COVID-19 on healthcare by front-line healthcare workers (FLHCWs). Aim: To gain insights directly from FLHCWs working in countries with a high NCD burden, and thereby identify opportunities to improve the provision of healthcare during the current pandemic and in future healthcare emergencies. Methods: We recruited selected frontline healthcare workers (general practitioners, pharmacists, and other medical specialists) from nine countries to complete an online survey (n = 1347). Survey questions focused on the impact of COVID-19 pandemic on clinical practice and NCDs; barriers to clinical care during the pandemic; and innovative responses to the many challenges presented by the pandemic. Findings: The majority of FLHCWs responding to our survey reported that their care of patients had been impacted both adversely and positively by the public health measures imposed. Most FLHCs (95%) reported a deterioration in the mental health of their patients. Conclusions: Continuity of care for NCDs as part of pandemic preparedness is needed so that chronic conditions are not exacerbated by public health measures and the direct impacts of the pandemic.

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