Public-Health

Depuis quelques années, plusieurs hôpitaux suisses ont rejoint “Swiss Hospitals 4 Equity”. Cette plateforme permet de rassembler l’expertise des équipes des professionnels s’engageant pour offrir des soins de qualité à toutes et à tous. Une conférence annuelle et la mise à jour régulière du site permettent de partager les connaissances scientifiques actuelles en lien, entre autre, avec l’enseignement des compétences transculturelles auprès des professionnels de la santé.

A study was published recently in BMC Medical Education Online, pointing out the gaps in teaching cultural competence for medical students in 12 european universities.

One the challenges seems to be the lack of awareness and motivation among the key stakeholders (managers, teachers), in order to allocate ressources and time for training teachers and students on CC.

In spite of increasing diversity among patients and increasing inequalities in health allover Europe, teaching of CC seems to not be yet a priority in most health professional curriculums.

https://hpi.georgetown.edu/cultural/

International organizations Partners In Health (PIH), Médecins Sans Frontières (MSF), Interactive Research and Development (IRD) and their financial partner UNITAID started in April 2015 the endTB project, a partnership aimed at radically changing the management of multidrug-resistant tuberculosis (MDR-TB).

go to article

Bishkek Symposium on Tuberculosis, December 2012

TB Care - A Patient Centred Approach Treating TB in Central Asia and Eastern Europe

access here

MSF in collaboration with the Ministry of Health of Armenia organized in february 2015, the 4th TB symposium dedicated to the new regimens and treatment approaches specifically focused on Central Asia and Eastern Europe. Find the presentations on the symposium website here

From the WHO Regional office for Europe, workgroup dedicated to Health of Migrants and minorities

go to website

Factors associated with primary transmission of multidrug-resistant tuberculosis compared with healthy controls in Henan Province, China Wei-Bin Li, Yan-Qiu Zhang, Jin Xing, Zhen-Ya Ma, Ya-Hong Qu and Xin-Xu Li, Infectious Diseases of Poverty 2015, 4:14

Findings from this study showed that being single, earning a low income, having mental stress, lacking medical insurance, and suffering from a chronic debilitating disease were potential risk factors associated with primary MDR-TB. However, risk factors of nosocomial transmission and close contact were not found.

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.

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.