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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.

Human Rights

www.macao-tz.org
December 2014

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Malezi AIDS Care Awareness Organization (MACAO) is a non-profit organization reaching out to neglected Indigenous people in Ngorongoro District, Arusha Region of Northern Tanzania.  Macao founded in 2003, Macao is a humanitarian organization that provides assistance to approximately 200,000 Indigenous Maasai community in Ngorongoro district for addressing needs of water and sanitation, food security, health Care Research, Education, Research environment, Maasai Traditional Research, Human Rights and sustainable economic development by strengthening their livelihoods.  In addition to responding to major relief situations, MACAO focuses on long-term community development through over 4 Area Development Project. We welcome the donors and volunteers to join us in this programs, we are wolking in ruro villages.

International perspectives on spinal cord injury

BICKENBACH, Jerome
et al
Eds
2013

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This report assembles and summarizes information on spinal cord injury, in particular the epidemiology, services, interventions and policies that are relevant, together with the lived experience of people with spinal cord injury. It also provides recommendations for actions based on this evidence that are consistent with the aspirations for people with disabilities as expressed in the Convention on the Rights of Persons with Disabilities

Testing treatments : better research for better healthcare

EVANS, Imogen
THORNTON, Hazel
CHALMERS, Iain
2010

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This book highlights issues that are fundamental to ensuring that research into the effects of treatments is soundly based and designed to answer questions that matter to patients and the health professionals to whom they turn for help in critically assessing treatment options

Barriers to sustainable access of children and families to ART centres in rural India : a report on operations research conducted in Maharashtra and Manipur

INDIA HIV/AIDS ALLIANCE
December 2009

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This report identifies barriers that children and families face in accessing anti-retroviral therapy (ART) centres in rural India. The report also seeks to find solutions to these barriers based on an operations research conducted in Maharashtra Pradesh and Manipur. Operations research objectives: * To build an understanding among policy makers of the barriers faced by children and caregivers accessing ART services in rural communities. * To assess and highlight a basic minimum level of standards for ART centres in terms of adequacy, quality and timeliness of support needed. * To explore opportunities for linkages with state and district level departments and/or local self-governing institutions

A handbook for network support agents and other community workers supporting HIV prevention, care, support and treatment

March 2009

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This manual is intended to help network support agents and other community workers be more effective in disseminating standardised information about HIV and AIDS. It "...emphasises the importance of the acquisition of knowledge, skills and the right attitude needed to identify the psychosocial needs of people of people infected and affected by HIV/AIDS and address these needs by giving information, counselling and appropriate referrals. Knowledge of counselling and psychosocial care, is combined as much as possible with prevention activities such as adopting HIV basic care positive prevention and adherence to treatment"

Positive prevention : HIV prevention with people living with HIV. A guide for NGOs and service providers

INTERNATIONAL HIV/AIDS ALLIANCE
September 2007

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This guide is intended as a resource to help nongovernmental organisation (NGO) staff and HIV service providers working across the spectrum of HIV prevention, treatment, care and support services to take steps towards integrating HIV prevention for, by and with people living with HIV. It is hoped it will also be of use both to individual people living with HIV and to their partners. The guide does not intend to discuss or review all HIV prevention strategies. Rather, it is a starting point from which to consider different strategies to assist NGO staff and HIV service provider organisations to support HIV positive people to live well with HIV and have safer sexual relationships within a full and healthy life. This guide focuses largely on the sexual transmission of HIV

Pain relieving drugs in 12 African PEPFAR countries : mapping current providers, identifying current challenges, and enabling expansion of pain control provision in the management of HIV/AIDS

HARDING, Richard
et al
January 2007

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This study aims to identify current opioid prescribing services and regulatory bodies within 12 African PEPFAR (Presidents Emergency Plan for AIDS Relief ) countries, and to examine the barriers to, and appraise the potential for, expansion in the number of opioid providers, for people with HIV and AIDS according to the World Health Organization pain ladder. It concludes that while there are common issues raised by services and International Narcotics Control Board competent authorities, it is clear that these key stakeholders have concerns regarding the potential roll-out of opioids

How to improve the use of medicines by consumers

CHETLEY, Andrew
et al
2007

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This manual focuses on selecting, testing, implementing and evaluating interventions to improve the use of medicines at community level. Two broad strategic areas are identified: communication strategies and strategies to create enabling environments. "What has become clear over the years is that there is no single model or approach that is the solution to all health communication challenges. Different techniques are appropriate in different contexts to deal with different priorities and problems. This manual will help you to build skills and experience to make that selection more effectively"

Developing pharmacy practice : a focus on patient care

WLEDENMAYER, Karin
et al
2006

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This handbook outlines the role of pharmacists in the context of greater availability of a complex range of medicines and suggests good pharmacy practices. Effective pharmaceutical care entails a patient-centred approach that should encourage adherence to prescribed medicines, through a close relationship between patient and pharmacist and follow-up on health outcomes. 'Adherence to long-term therapy for chronic conditions in developed countries averages 50%, with even lower rates for developing countries'. The handbook looks at pharmacists and patient care both from a policy and from a practical perspective

Pneumonia : the forgotton killer of children

WARDLAW, Tessa
WHITE JOHANSSON, Emily
HODGE, Matthew
2006

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This report examines the epidemiological evidence on the burden and distribution of pneumonia and assesses current levels of treatment and prevention. The report aims to raise awareness of pneumonia and to serve as a call to action to reduce child deaths from pneumonia

Expanding access to HIV treatment through community-based organisations

SIDACTION
JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
WORLD HEALTH ORGANIZATION (WHO)
July 2005

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This UNAIDS Best Practice Collection document aims to highlight and advocate for the work of civil society, community based organisations in particular, in responding to the AIDS epidemic in Africa. The paper describes a ground breaking survey by Sidaction, a Paris based treatment rights group, which supports community responses to AIDS in low and middle income countries. In 2004, Sidaction, in cooperation with the UNAIDS secretariat and WHO mapped treatment and care efforts by community based organisations in Africa. Many community based organisations are already dispensing ARVs on a significant scale. The survey confirmed that community efforts to provide treatment represent an important opportunity to enrol more people in antiretroviral therapy. To seize this opportunity, national governments and the international community need to quickly provide support to expand the coverage and impact of community based treatment. The aim is for CBOs to work closely with the public sector so that each reinforces the efforts of the other

HIV/AIDS care and treatment : a clinical course for people caring for people living with HIV/AIDS [participant manual]

IMPLEMENTING AIDS PREVENTION AND CARE PROJECT (IMPACT)
2004

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The "HIV/AIDS Care and Treatment Participant Guide" presents new knowledge and skills for delivering and organising clinical care and treatment services for people living with HIV/AIDS. The course is divided into 7 modules covering HIV prevention and care issues; managing patients with HIV related diseases; managing women and children with HIV; antiretroviral therapy; supporting people with HIV/AIDS; managing patients on antiretroviral treatment; and TB, women, children and post-exposure prophylaxis. A facilitator's guide accompanies this manual

HIV/AIDS care and treatment : a clinical course for people caring for people living with HIV/AIDS [facilitator's guide]

IMPLEMENTING AIDS PREVENTION AND CARE PROJECT (IMPACT)
2004

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The "HIV/AIDS Care and Treatment Participant Guide" presents new knowledge and skills for delivering and organising clinical care and treatment services for people living with HIV/AIDS. The course is divided into 7 modules covering HIV prevention and care issues; managing poatients with HIV related diseases; managing women and children with HIV; antiretroviral therapy; supporting people with HIV/AIDS; managing patients on antiretroviral treatment; and TB, women, children and post-exposure prophylaxis. A participant manual accompanies this manual

Palliative care in Sub-Saharan Africa : an appraisal

HARDING, Richard
HIGGINSON, Irene
2004

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This report was written from the belief that palliative care is, and will be for the forseeable future, an essential component in the continuum of managing HIV/AIDS in sub-Saharan Africa. There is now a wealth of experience in sub-Saharan Africa about the ways in which palliative care can be delivered both affordably and effectively. However, there remains a lack of properly documented evidence and research to demonstrate the importance of this work and promote its development. This report provides a review of existing evaluations of palliative care projects in sub-Saharan Africa with an emphasis on isolating the factors that lead to sustainability, local ownership and scaling up; the role of palliative care in the management of HIV/AIDS and how to integrate palliative care and Anti-Retroviral Therapy (ART); primary health based care projects in two countries, Kenya and Malawi, that could provide lessons for the implementation of palliative care; lessons from other parallel programmes which mirror palliative care delivery, for example, tuberculosis programmes, and primary care programmes with good links to local clinics and hospitals, and community mobilization and empowerment projects linked to health facilities. In this way it contributes to the effort of providing an evidence base to demonstrate the importance of palliative care and provides a source of reference for policy makers, practitioners, donors and researchers

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

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

Adherence to antiretroviral therapy in adults : a guide for trainers

HORIZONS. Population Council
2004

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Successful HIV therapy requires 95% adherence. As antiretrovirals are becoming more widely available and an increasing number of ARV programmes are launched in developing countries, HIV patients need to be helped to strictly follow a treatment plan. This manual, one of the first adherence training tools developed in Africa, has been designed for health professionals in the province of Mombasa, but can be adapted to other contexts. It consists of four modules, each including Power Point presentations, suggested activities and additional informative material. Module 1 provides basic information on adherence, highlighting the consequences of non-adherence. Module 2 deals with all aspects of patient preparation for adherence and module 3 aims to provide trainees with specific skills in preparatory counseling for patients prior initiating ARV treatment. Finally, module 4 is designed to help health care providers assist patients during treatment

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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