Health-Promotion

Community based interventions for the prevention and control of tuberculosis

Infectious Diseases of Poverty is an open access peer-reviewed journal publishing articles around essential public health questions relating to infectious diseases of poverty.

Abstract

In 2012, an estimated 8.6 million people developed tuberculosis (TB) and 1.3 million died from the disease. With its recent resurgence with the human immunodeficiency virus (HIV); TB prevention and management has become further challenging. We systematically evaluated the effectiveness of community based interventions (CBI) for the prevention and treatment of TB and a total of 41 studies were identified for inclusion. Findings suggest that CBI for TB prevention and case detection showed significant increase in TB detection rates (RR: 3.1, 95% CI: 2.92, 3.28) with non-significant impact on TB incidence. CBI for treating patients with active TB showed an overall improvement in treatment success rates (RR: 1.09, 95% CI: 1.07, 1.11) and evidence from a single study suggests significant reduction in relapse rate (RR: 0.26, 95% CI: 0.18, 0.39). The results were consistent for various study design and delivery mechanism. Qualitative synthesis suggests that community based TB treatment delivery through community health workers (CHW) not only improved access and service utilization but also contributed to capacity building and improving the routine TB recording and reporting systems. CBI coupled with the DOTS strategy seem to be an effective approach, however there is a need to evaluate various community-based integrated delivery models for relative effectiveness.

Des interventions infirmières et des sages-femmes pour la prévention des maladies non transmissibles (NCDs)

Nombreuses interventions existent pour pour faire face aux maladies non transmissibles (Non-Communicable Diseases ou NCDs en anglais) et celles-ci sont bien connues.

Afin d’ intensifier l’action, la participation des infirmières et des sages-femmes, qui représentent la plus grande catégorie de professionnels de la santé dans la plupart des pays, est essentielle.

L’expérience montre que les  interventions issues des soins infirmiers  et obstétricaux pour les NCDs peuvent aller au-delà de la prévention et du traitement et qu’elle peuvent inclure la promotion de la santé.

Prévention du suicide: L'état d'urgence global

Le suicide  est devenu la deuxième cause de mortalité au niveau mondial chez les jeunes (15-29 ans) L’OMS a publié pour la première fois un rapport concernant le suicide. Ce rapport présente l’épidémiologie et les facteurs de risque du suicide au niveau mondial, il fait l’état des lieux des connaissances actuelles en matière de prévention et donne des pistes pour la mise en place de stratégies nationales de prévention du suicide au niveau mondial.

Inégalités en santé et minorités ethniques

Autour du monde, l’état de santé des personnes issues de minorités ethniques est moins bon comparé au reste de la population. Les soins de santé accessibles à ces populations sont de moins bonne qualité.

A travers son  rapport 2013, le Minority Rights Group International décrit  les facteurs contribuant aux inégalités en santé et propose des pistes d’intervention afin que les pays puissent mieux répondre aux besoins de l’ensemble de leur population.

HIV/AIDS Treatment as Prevention works!

The PARTNER study, involving more than 750 discordant heterosexual and homosexual couples,  are showing that an effective treatment by antiretroviral therapy (ART) prevents the transmission of HIV to the seronegative partner.

This study brings evidence showing  that treatment as prevention works. learn more about the studyResults were  reported at the 21st Conference on Retroviruses and Opportunistic Infections (CROI 2014) in Boston, in March 2014 learn more about Treatment as Prevention

How adverse experiences during childhood influence people's health behavior

MBC Medicine published a study about the influence of adverse childhood experiences ACE (parental separation, domestic violence, physical or verbal abuse, sexual abuse, mental illness, alcohol or drug abuse, and incarceration) on health-harming behaviors H-HB (such as unintended teenage pregnancy, early sexual initiation, smoking, blinge drinking, drugs use, violence, poor diet, low physical activity and incarceration) among adults individuals living en England. One out of two adults across all socio-economic classes, have experienced at least one ACE. These individuals are more likely to develop H-HB and thus to suffer from non-communicable diseases.

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