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 Global Breast Cancer Initiative Framework 
Global Health NewsInternational Plan, Policy & GuidelinesNon- Communicable Diseases (NCDs)Public Health News

WHO launches new roadmap on breast cancer

by Public Health Update February 7, 2023
written by Public Health Update

Overview

The World Health Organization (WHO) released a new Global Breast Cancer Initiative Framework today providing a roadmap to attain the targets to save 2.5 million lives from breast cancer by 2040. The new Framework launched ahead of the World Cancer Day campaign marked tomorrow, recommends to countries to implement the three pillars of health promotion for early detection, timely diagnosis and comprehensive management of breast cancer to reach the targets.  

There are more than 2.3 million cases of breast cancer that occur each year, which make it the most common cancer among adults. In 95% of countries, breast cancer is the first or second leading cause of female cancer deaths. Yet, survival from breast cancer is widely inequitable between and within countries; nearly 80% of deaths from breast and cervical cancer occur in low- and middle-income countries.

“Countries with weaker health systems are least able to manage the increasing burden of breast cancer. It places a tremendous strain on individuals, families, communities, health systems, and economies, so it must be a priority for ministries of health and governments everywhere,” said Dr Tedros Adhanom Ghebreyesus, Director-General of WHO, “We have the tools and the know-how to prevent breast cancer and save lives. WHO is supporting more than 70 countries, particularly low- and middle-income countries, to detect breast cancer earlier, diagnose it faster, treat it better and give everyone with breast cancer the hope of a cancer-free future.” 

Cancer in women, including breast cancer leave devastating impact for the next generation. A 2020 study by the International Agency for Research on Cancer suggests that with an estimated 4.4 million women dying of cancer in 2020, nearly 1 million children were orphaned by cancer, 25% of which were due to breast cancer. Children who lose their mothers to cancer experience health and educational disadvantages throughout their lives, triggering generational, chronic social disruption and financial harm in many cases.

“Countries need to ensure that this framework engages and integrates into primary health care. This effort would not only support health promotion, but also empower women to seek and receive health care throughout the life cycle,” says Dr Bente Mikkelsen, WHO Director for Noncommunicable Diseases. “With effective and sustainable primary health care, we can really see a pathway to universal health coverage.” 

Strategies

The newly published framework leverages proven strategies to design country-specific, resource-appropriate, health systems for the delivery of breast-cancer care in low- and middle-income settings. It outlines three pillars of action with specific key performance indicators:  

  1. Recommending countries to focus on breast cancer early-detection programmes so that at least 60% of the breast cancers are diagnosed and treated as early-stage disease.
  2. Diagnosing breast cancer within 60 days of initial presentation can improve breast cancer outcomes. Treatment should start within three months of first presentation.
  3. Managing breast cancer so that at least 80% of patients complete their recommended treatment.

Accelerating the implementation of WHO’s Global Breast Cancer Initiative has the potential to avert not only millions of avoidable female cancer deaths but also the associated, intergenerational consequences of these deaths.

In 2017, the World Health Assembly passed the Resolution Cancer prevention and control in the context of an integrated approach. Since 2018, WHO has developed integrated initiatives in women’s and children’s cancers, calling also for the elimination of cervical cancer and a doubling of childhood cancer survival. Taken together, these initiatives can revert the generational harm from cancers and save more than a million lives in the next ten years. WHO calls on governments, development partners, industries and individuals to take their part to close the care gap and end the generational harms of cancer.

Pillars

GBCI has established the following three pillars towards achieving its primary objective.

  • Pillar I: Health promotion for early detection (pre-diagnostic interval): KPI: >60% of invasive cancers are stage I or II at diagnosis
  • Pillar II:Timely breast diagnostics (diagnostic interval): KPI: diagnostic evaluation, imaging, tissue sampling and pathology within 60 days
  • Pillar III: Comprehensive breast-cancer management (treatment interval): KPI: >80% undergo multimodality treatment without abandonment

Download: Global Breast Cancer Initiative Framework

February 7, 2023 0 comments
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RSTMH Smalls Grants Programme
Grants and Funding OpportunitiesInternational Jobs & OpportunitiesPublic Health OpportunitiesPublic Health OpportunityResearch & Project GrantsResearch & Project Grants

Royal Society of Tropical Medicine and Hygiene 2023 Early Career Grants Programme

by Public Health Update February 6, 2023
written by Public Health Update

Overview

The The Royal Society of Tropical Medicine and Hygiene (RSTMH) 2023 Early Career Grants Programme opened for applications at 9:00AM GMT, 1 February 2023.

Applications for grants of up to £5,000 (GBP) are welcomed from early career researchers and global health professionals based anywhere in the world, who have not had research funding of £5,000 (GBP) or more in their own name before. 

The projects can be on any topic related to tropical medicine and global health, from across the research spectrum of lab, translation, implementation and policy, and should take up to one year.

The maximum RSTMH Early Career Grant award is £5,000 (including any taxes on relevant purchases) and for up to one year in duration.

See the grants awarded in 2022 here and read a summary of the grant awardees here.

If you have a question about the scope and content of your proposal, please email info@rstmh.org.

Please note: This RSTMH Early Career Grants Programme guidance webinar being held on 15 February 2022 is now at full capacity. The webinar will be recorded and shared on the RSTMH website.

Who is eligible?

Anyone early in their research career with any nationality based anywhere in the world can apply. The overall aim of the Programme is to encourage and inspire the next generation of global health leaders, innovators and professionals by providing the opportunity for them to carry out projects which could improve tropical medicine or global health.

Only RSTMH members can receive the funding, but anyone can apply.

If successful, applicants who are not already members of RSTMH will have their membership funded by one of our partners, or RSTMH will deduct it from their award. 

Find out more about becoming a member here.

What do you define as “early career”?

To ensure equity and fairness of opportunity, RSTMH does not use a definition focused on specific roles, qualifications held, or age. Instead it chooses to supply guidance around the profile of applicant that may be suitable for an Early Career Grant. 

Candidates should not have received a research grant of £5,000 or more in their own name before. They should be to be able to:

  • Carry out research under supervision
  • Have the ambition to develop knowledge of research methodologies and discipline
  • Have demonstrated a good understanding of a field of study
  • Demonstrate the ability to produce data under supervision
  • Use critical analysis, evaluation and be able to synthesise new and complex ideas
  • Competently explain the outcome of their research and value thereof to colleagues
Applying for funding

Applications open on 1 February 2023 at 09:00AM GMT and close on 28 April 2023 at 09:00AM BST.

Read More and Apply
February 6, 2023 0 comments
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Institute for Population and Social Research, Mahidol University, Thailand
Fellowships, Studentship & ScholarshipsInternational Jobs & OpportunitiesPhDPublic Health OpportunitiesPublic Health OpportunityUniversities & School of Public Health

Ph.D. Program in Applied Demography and Social Research (International Program)

by Public Health Update February 6, 2023
written by Public Health Update

Overview

Institute for Population and Social Research, Mahidol University, Thailand IPSR offers a three-year Ph.D. program in Applied Demography and Social Research in a friendly and supportive learning environment. While keeping the strength of the institute in providing the essence of demography knowledge, the program accentuates and encourages its application to all other fields of study to gain better insights into and provide relevant recommendations for the 21st century.

Academic calendar

The program’s academic schedule follows the two – semester system of Mahidol University. The first semester runs from August to December, and the second from January to May.

Study plans

Plan 1 Research: Suitable for students with backgrounds in demography/population studies who already have earned a master’s degree and have published at least one research work in applied demography and social research/population studies. No coursework is required. Students prepare for and pass the qualifying examination and then undertake their dissertation.

Plan 2 Coursework & Research: Suitable for students with no background in demography who have a master’s degree in related fields. Students take prerequisite courses in demography and research methods as appropriate to their background. Then students take three core courses in applied demography and social research, and one elective course, pass the qualifying examination and complete their dissertation.

Qualifying examination

All students must successfully pass the qualifying examination before proceeding to dissertation.

Courses Offered

Prerequisite courses
Students with no background in demography or research methods are required to take prerequisite courses as appropriate:

  • Substantive Demography
  • Analytical Techniques of Demography
  • Social Research Methodology
  • Statistics for Social Analysis

Core courses

  • Demographic Materials and Methods
  • Advanced Social Research Methodology
  • Seminar in Applied Demography and Social Research

Elective courses

1.Advanced and applied demography

  • Business Demography
  • Economic Demography
  • Family Demography
  • Fertility and Reproductive Health Rights
  • Migration and Social Implications
  • Mortality and Morbidity
  • Political Demography
  • Population and Social Determinants of Health
  • Social Demography
  • Social Theories for Demography

2.Technique and methodology

  • Advanced Analysis Techniques in Demography
  • Advanced Demographic Projections
  • Applied Multivariate Analysis for Demographic and Social Research
  • Applied Regression Modeling for Panel Data Analysis
  • Demographic Epidemiology
  • Geographical Information System and Social Science Research
  • Qualitative Research Methodology

3.Contemporary topics and issues

  • Economics of Population Aging
  • Older Persons in Cross-cultural Context
  • Population Ageing, Society and Public Policy
  • Population, Social Issues and Trends in ASEAN
  • Social Research on the Elderly

Program Learning Outcomes (PLOs)

  • Be equipped with social science research skills and demographic techniques and be able to conduct research independently with high ethical standards and professional integrity
  • Comprehend and apply key principles and demographic theories in population studies and social research
  • Realize analytical and problem-solving skills on complex problems, and contemporary issues
  • Develop critical perspectives to assess and analyze quantitative and qualitative data using up-to-date information technology
  • Enhance creativity and leadership in the application of demographic and social research knowledge and techniques
  • Communicate research findings and recommendations to the public and policy makers effectively with digital technology

Admission requirements

RequirementsPlan 1 (Research)Plan 2
Previous degreesMaster’s degree in in demography/population studies with minimum GPA 3.5Master’s degree in related field with minimum GPA 3.5
Background in demography/
population studies
RequiredDesirable, but not required
A major advisorHaving been accepted by an IPSR faculty memberNot required
PublicationsAt least 1 research article published in peer-reviewed journalPublications desirable,
but not required

English proficiency and computer skills: TOEFL-IBT of 79 or IELTS of 6.0 (Students having lower scores are required to take English courses offered by Faculty of Graduate Studies)
Basic computer literacy is required.

Scholarships

Mahidol Postgraduate Scholarships for International Students.

Read More and Apply
February 6, 2023 0 comments
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Norwegian University of Science and Technology (NTNU)
European RegionGrants and Funding OpportunitiesInternational Jobs & OpportunitiesPostDocPublic Health OpportunitiesPublic Health Opportunity

Postdoctoral Fellow in the field of health inequalities

by Public Health Update February 6, 2023
written by Public Health Update

Norwegian University of Science and Technology (NTNU) is a broad-based university with a technical-scientific profile and a focus in professional education. The university is located in three cities with headquarters in Trondheim. At NTNU, 9,000 employees and 43,000 students work to create knowledge for a better world.

The postdoctoral fellowship position is a temporary position where the main goal is to qualify for work in senior academic positions. 

The postdoctoral fellow will be connected to CHAIN’s (Centre for Global Health Inequalities Research) research activities. CHAIN’s main objectives are to

  • monitor variations in health inequalities between and within countries.
  • identify the causal drivers of health inequalities throughout the life course.
  • evaluate interventions that could reduce health inequalities.
  • reduce the gap between research, policy and practice.
  • develop the next generation of health inequality researchers.

Your immediate leader is Head of the Department.

Duties of the position

CHAIN is currently leading a number of global systematic reviews in collaboration with the Institute for Health Metrix and Evaluation (IHME) based at the university of Washington. The aim of this work is to include socioeconomic factors, such as education, as risk factors into the Global Burden of Disease Study (GBD Study): Global Burden of Disease (GBD 2019) | Institute for Health Metrics and Evaluation (healthdata.org)

The candidate will assist the coordination of these reviews and lead specific articles on the links between socioeconomic factors and cause-specific mortality, applying meta-analyses. An example study of the work can be found here: Parental education and inequalities in child mortality: a global systematic review and meta-analysis – The Lancet

The candidate will also take part of CHAIN’s ongoing work to assess the contribution of inequality on covid-19 deaths globally, also through the application of meta-analyses. A further description of CHAIN’s research agenda in this area can be found here: Bulletin of the World Health Organization (who.int) The work is supported by The Technical Advisory Group on COVID-19 Mortality Assessment at the World Health Organization and the United Nations (UN) Department of Economic and Social Affairs.

Finally, the candidate will take part of CHAIN’s efforts to measure the development of socioeconomic inequalities in cause-specific mortality, applying comparative register-based data from European countries. An example study of the data that will be applied can be downloaded here: Trends in health inequalities in 27 European countries | PNAS. CHAIN and Erasmus Medical Centre in Rotterdam have updated the data until 2020/21, which the post doctoral researcher will analyze.

The position is a temporary position for a period of three years, included one year of duty work.

Required selection criteria

  • You must have completed a Norwegian doctoral degree or corresponding foreign doctoral degree recognized as equivalent to a Norwegian PhD in a relevant field for the above-described tasks within the social sciences, statistics or public health.
  • Candidates who are in the final stages of their PhD project will be assessed but must attach a document that confirms that their doctoral thesis has been submitted or documentation from the institution that confirms when the defense is scheduled to take place. If you are offered the position, you need to provide documentation for completion of the PhD degree before starting the position
  • Strong quantitative skills. Experience with applying register-based data and/or meta-analyses is an advantage.
  • You will become part of and assist the coordination of a large research consortium. Strong organizational skills are therefore an advantage.

The appointment is to be made in accordance with Regulations on terms of employment for positions such as postdoctoral fellow, Ph.D Candidate, research assistant and specialist candidate.

Preferred selection criteria

  • Excellent oral and written communication skills.
  • Relevant experience in research, such as dissemination and/or participation in a research project, or work experience (for example from IHME, WHO, or UN) on the topic of health inequalities.
  • Interest and experience in quantitative methods, including systematic reviews with meta-analyses.
  • Relevant publications

Personal characteristics

  • Personal qualifications such as well organized, initiative, cooperative spirit, and motivation to contribute to an inclusive work milieu will be ascribed high importance.
  • Ability to contribute to the research group.
  • Motivation for the position, experience, personal suitability.

Emphasis will be placed on personal and interpersonal qualities.

We offer 

  • exciting and stimulating tasks in a strong international academic environment 
  • an open and inclusive work environment with dedicated colleagues 
  • favourable terms in the Norwegian Public Service Pension Fund 
  • employee benefits 

Salary and conditions

As a Postdoctoral Fellow (code 1352) you are normally paid from gross NOK 563 500 per annum before tax, depending on qualifications and seniority. From the salary, 2% is deducted as a contribution to the Norwegian Public Service Pension Fund

The position is a temporary position for a period of three years, included one year of duty work.

The engagement is to be made in accordance with the regulations in force concerning State Employees and Civil Servants, and the acts relating to Control of the Export of Strategic Goods, Services and Technology. Candidates who by assessment of the application and attachment are seen to conflict with the criteria in the latter law will be prohibited from recruitment to NTNU.  

After the appointment you must assume that there may be changes in the area of work.

It is a prerequisite you can be present at and accessible to the institution on a daily basis.

About the application 

The application and supporting documentation to be used as the basis for the assessment must be in English.

Publications and other scientific work must follow the application. Please note that applications are only evaluated based on the information available on the application deadline. You should ensure that your application shows clearly how your skills and experience meet the criteria which are set out above.  

If, for any reason, you have taken a career break or have had an atypical career and wish to disclose this in your application, the selection committee will take this into account, recognizing that the quantity of your research may be reduced as a result. 

If you have not yet completed your PhD, you must provide confirmation on your estimated date for the doctoral dissertation, or that your PhD thesis has been submitted. Documentation of a completed doctoral degree must be presented before taking up the position.

The application must include: 

  • CV and certificates
  • transcripts and diplomas for bachelor’s-, master’s- and PhD degrees. If you have not yet completed your Ph.D, you must provide confirmation on your estimated date for the doctoral dissertation, or that your PhD thesis has been submitted
  • A copy of the doctoral thesis. If you are close to submitting, or have recently submitted your thesis, you can attach a draft of the thesis. Documentation of a completed doctoral degree must be presented before taking up the position.
  • Academic works – published or unpublished – that you would like to be considered in the assessment (up to 5 items)
  • Motivation letter (max 3 pages)
  • Name and contact information of three referees

If all, or parts, of your education has been taken abroad, we also ask you to attach documentation of the scope and quality of your entire education. Description of the documentation required can be found here. If you already have a statement from NOKUT, please attach this as well. 
 
Joint works will be considered. If it is difficult to identify your contribution to joint works, you must attach a brief description of your participation. 

In the evaluation of which candidate is best qualified, emphasis will be placed on education, experience and personal and interpersonal qualities. Motivation, ambitions, and potential will also count in the assessment of the candidates. 

READ MORE AND APPLY
February 6, 2023 0 comments
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Fulbright Foreign Student Program 2024-25
Fellowships, Studentship & ScholarshipsFully fundedGrants and Funding OpportunitiesInternational Jobs & OpportunitiesMaster's DegreePublic Health OpportunitiesPublic Health Opportunity

Fulbright Foreign Student Program 2024-25

by Public Health Update February 4, 2023
written by Public Health Update

Overview

The U.S. Educational Foundation in Nepal (USEF-Nepal or the Fulbright Commission) announces the 2024-25 competition for the Fulbright Foreign Student Program for Nepalese students for Master’s level study in the U.S. Those selected will begin their program in the Fall of 2024. The Program provides all expenses (including travel) for a Master’s degree program of up to two years at selected U.S. universities, in any field except Medicine and Nursing.

Fulbrighters join a network of thousands of alumni serving as leaders across the globe. Through the Fulbright Foreign Student Program, participants enrich their educations, advance their careers—and make meaningful contributions in the U.S. and in their home country.

The Fulbright Program is the U.S. government’s flagship international educational and cultural exchange program, creating connections in a complex and changing world. Led by the U.S. government in partnership with 160 countries worldwide, Fulbright builds lasting connections between the peoples of the U.S. and the people of other countries around the world, building mutual understanding between nations, advancing knowledge across communities, and improving lives around the world.

Depending upon budget availability, approximately five candidates will be nominated by the Fulbright Board in Nepal for the FFSP. Those selected will begin their program in the Fall of 2024.

Women, minorities, people with disabilities, or otherwise disadvantaged candidates and individuals with limited prior international exposure are encouraged to apply.

General Requirements 

All applicants must:

  1. Possess Nepalese citizenship
  2. Have at least three years (for men) or two years (for women) of post-bachelor’s degree, full-time, professional work experience in an area directly relevant to the applicant’s chosen field of study as of the application deadline. This experience must be outlined by the professional recommender, verifying your position(s) and years of employment. Even if you have worked at several organizations, you are eligible to apply as long as your work experience at those organizations adds up to the minimum work-duration requirement
  3. Possess either a four-year bachelor’s degree; or, if the bachelor’s degree was of fewer than four years’ duration, then a Master’s degree is also required, such that the total number of years of formal education equals at least 16
  4. Students with a three-year bachelor’s degree who have completed only the first year of a two-year Master’s degree program, and Master’s degree students who have cleared all exams but still need to fulfill other university-mandated degree requirements are ineligible to apply. Similarly, students who have two or more two-year/three-year bachelor’s degree but no Master’s degree are ineligible to apply for the Fulbright program
  5. Demonstrate in post-intermediate degrees (Bachelors and Master’s) a minimum aggregate mark of:
    • 54% for students in non-technical fields (Humanities and Social Sciences)
    • 62% for students in Science and Technical fields
    • The minimum requirements for students under the semester system are: 65% in non-technical fields; 75% in technical fields; or a Cumulative GPA of 3.50/4.00 in either field
    • If the grading systems, fields of study or educational systems for the Bachelor’s and Master’s level are different (percentage and GPA grades, non-technical and science/technical fields, yearly and semester systems, etc.), the applicant needs to meet the minimum score requirements separately, not in the aggregate
  1. Should have sufficient level English proficiency to enable engagement in full-time graduate level study in the U.S.
  2. Only selected applicants will be required to sit for a TOEFL and the GRE, both of which are mandatory for university applications. The test requirements may be waived for those who:
    • have taken a TOEFL in the past 2 years between May 1, 2021 to May 1, 2023 and GRE in the past 5 years between May 1, 2018 to May 1, 2023
    • if you have taken an IELTS in the past 2 years between May 1, 2021 to May 1, 2023 you can upload the test score on the application
    • Selected candidates MUST sit for both TOEFL and GRE tests. Candidates must acquire 100+ in TOEFL
  1. A competitive applicant should have the commitment to return to Nepal upon completion of the program. Preference will be given to applicants who have not previously studied in the U.S.
  2. Be eligible for a non-immigrant J-1 U.S. visa, and not already in possession or in the process of obtaining a U.S. immigrant visa (“green card”). All grantees receive an exchange visitor (J-1) visa which requires that the individuals return to Nepal upon completion of their academic project. Grantees are not eligible for an immigrant visa, for permanent residence, or for a non-immigrant visa as a temporary worker (“H” visa) or trainee, or as an intra-company transferee (“L” visa) to re-enter the U.S. until they have accumulated two years’ residence in Nepal after returning from the U.S. on an exchange visitor visa. This does not preclude the individual from going to the U.S. on other visas during the two-year period
  3. Applications and materials must be submitted through the online system. No hard copies will be accepted.

Scholarship benefits

  • Tuition, living stipend and academic allowances
  • Round trip travel
  • Health insurance
  • J-1 Visa sponsorship
  • Earn a graduate degree in a field of your choice from a U.S. university
  • Opportunity to experience life in the U.S. and share your culture
  • Pre-academic training and enrichment seminars
  • Post Degree Academic Training and other post-study opportunities
  • Induction into the global Fulbright alumni network
Application Link & Instructions

The online application form and instructions to fill out the application are available below. Click on Create Account to initiate your application.

  • The required documents along with the online application and recommendations must be uploaded and submitted no later than 23:59 (midnight) on Monday, May 1, 2023
  • You will receive a confirmation email stating that your application has been successfully submitted
  • Only successful candidates will be informed via email and/or phone for interviews.
Read more and Apply Now

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February 4, 2023 0 comments
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World Cancer Day
Public HealthPublic Health EventsPublic Health Update

World Cancer Day 2023: Close the Care Gap!

by Public Health Update February 4, 2023
written by Public Health Update

  By Dr Poonam Khetrapal Singh, WHO Regional Director for South-East Asia

On World Cancer Day, WHO is calling for intensified action across the South-East Asia Region to strengthen health systems to prevent and detect cancers early, to provide prompt treatment referral, to enhance access to palliative care, and to close the gap in access to quality cancer services – the theme of this year’s commemoration.  

Cancer is the second leading cause of death globally, accounting for an estimated 9.9 million deaths in 2020. Between 2010 and 2019, global cancer incidence increased by 26%, alongside a 21% increase in cancer deaths. An estimated one third of cancer deaths globally are due to tobacco use, high body mass index, alcohol use, low fruit and vegetable intake, and lack of physical activity.  

In the WHO South-East Asia Region, an estimated 2.3 million people developed cancer in 2020, and 1.4 million died of the disease. Cancer is estimated to account for more than 20% of premature mortality from noncommunicable diseases (NCDs) in the Region, which stand at around 4.7 million deaths every year. In 2020, cancer of the lungs, breast and cervix accounted for 400 000 of the total number of cancer-related deaths in the Region, and almost two-thirds of people diagnosed with cancer succumbed to the disease, highlighting the urgent need for improved early diagnosis and treatment.  

Since 2014, the Region has accelerated action to prevent, detect, treat and control cancer, with increased focus on eliminating cervical cancer as a public health problem. Eight countries of the Region now have in place population-based cancer registries (PCBRs), and three countries – Myanmar, Nepal and Sri Lanka – are focus countries for addressing childhood cancer. Ten of the Region’s 11 Member States provide tertiary care services for cancer diagnosis and treatment – including surgical and chemotherapy services – and nine also offer radiotherapy services.  

WHO continues to support countries of the Region to implement its new Regional Action Plan on Oral Health 2022–2030, including oral cancers, which in 2020 were among the top five most common cancers, accounting for 7.4% of new cancers. Five countries of the Region – Bhutan, India, Myanmar, Sri Lanka and Thailand – now have in place national cancer control plans, which Maldives and Nepal are in the process of finalizing. The Region is currently on track to achieve the WHO NCD Global Action Plan target of a 30% relative reduction in tobacco use prevalence between 2010 and 2025.  

On cervical cancer, the Region is achieving rapid, life-saving progress. Five Member States – Bhutan, Maldives, Myanmar, Sri Lanka and Thailand – have introduced nation-wide HPV vaccination, which Bangladesh, India and Timor-Leste are set to also introduce. Indonesia has introduced HPV vaccination in several provinces, covering tens of millions of girls. New evidence shows that a single dose of HPV vaccine delivers protection comparable to the 2-dose schedule, which alongside additional cost reductions, should enable countries to reach every woman and girl.  

To accelerate progress and close the care gap, the Region has several priorities. First, introducing and/or expanding HPV vaccination in routine immunization to prevent cervical cancer, covering at least 90% of adolescent girls. At the same time, the Region must continue to facilitate healthy lifestyles, including by not just legislating but enforcing key tobacco control measures such as health warnings and bans on tobacco advertising, promotion and sponsorship, as well as by raising taxes on tobacco products.

Second, increasing capacity at the primary health care (PHC) level to detect cancers early, with a focus on intensified health workforce training, improved infrastructure and resources, and streamlined referral pathways for prompt initiation of treatment. In all countries, PHC physicians and nurses must be equipped to provide palliative and end-of-life care close to patients’ homes and families, within the community.

Third, rapidly – and systematically – advancing the capacity of tertiary care facilities to provide comprehensive diagnostic and treatment services, which is critical to reduce cancer mortality. Interventions should be aimed at high-burden cancers with high potential for cure. They must be accessible to all. Existing PBCRs should be improved, and where appropriate, new registries established, ensuring that policy makers can access good quality information to plan, monitor and evaluate interventions, and adjust accordingly.

Fourth, including cancer services in risk pooling or pre-payment schemes and health benefit packages. For this, national health budgets should enhance the quality and accessibility of public sector services and strengthen financial protection, with a focus on ending catastrophic health expenditure.

Action cannot and must not wait. In the last two decades, the world has made significant progress in the science of cancer control. However, much more work is needed to close the care gap, improve cancer survival, and accelerate towards the NCD 2025 and Sustainable Development Goal targets 2030. On World Cancer Day, WHO reiterates its commitment to support all countries of the Region to prevent, detect, treat and control cancer, ensuring equitable access to quality cancer services for everyone, everywhere.


    Fact Sheet of Population-Based Cancer Registry and Cancer Incidence and Mortality in Nepal

    Guideline to Implement livelihood allowance for Cancer, Kidney & paralyzed patients from spinal injuries

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    February 4, 2023 0 comments
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    National Eye Health Strategy
    National Plan, Policy & GuidelinesPublic HealthResearch & Publication

    National Eye Health Strategy 2079-2086

    by Public Health Update February 3, 2023
    written by Public Health Update

    The Ministry of Health and Population (MoHP), Nepal has endorsed the National Eye Health Strategy 2079-2086 aims to ensure quality eye health services to Nepalese.

    Download Strategy

    Download Strategy

    Recommended readings

    • EYE, ENT and Oral Health Manual for Health Workers
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    February 3, 2023 0 comments
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    Neglected Tropical Diseases (NTDs)PH Important DayPublic Health Update

    World NTDs Day: Act Now. Act Together. Invest in Neglected Tropical Diseases

    by Public Health Update February 1, 2023
    written by Public Health Update

    World Neglected Tropical Diseases Day: Act Now. Act Together. Invest in Neglected Tropical Diseases

     By Dr Poonam Khetrapal Singh, WHO Regional Director for South-East Asia

    To mark this year’s World Neglected Tropical Diseases (NTDs) Day, WHO is calling on countries and communities in the South-East Asia Region and across the world to confront the inequalities that drive NTDs, and to make bold, sustainable investments to help free the 1 billion people globally who are vulnerable to their devastating health, social and economic costs. NTDs are a diverse group of 20 conditions that are mainly prevalent in tropical areas.

    Globally, they affect more than 1 billion people, cost low- and middle-income countries billions of dollars every year, and perpetuate a cycle of poor educational outcomes and limited professional opportunities, mostly for impoverished communities, where they disproportionately affect women and children. The WHO South-East Asia Region accounts for the second highest NTD burden globally. At least one NTD is endemic to each of the Region’s 11 Member States, and more than 938 million people in the Region require interventions against NTDs. In 2021, the Region accounted for 59% of the global population requiring interventions against lymphatic filariasis (LF), 66.5% of new cases of leprosy, and 56% of children requiring regular deworming against soil-transmitted helminthiases. 

    Since 2014, WHO has supported countries of the Region to make rapid, equitable and sustained progress against NTDs, in line with the Region’s Flagship Priority on eliminating NTDs and other diseases on the verge of elimination. In 2016 India was declared yaws-free. Maldives, Thailand and Sri Lanka have eliminated lymphatic filariasis (LF) as a public health problem. Bangladesh is currently being assessed for validation of elimination of LF as a public health problem, and Timor-Leste is now under post-treatment surveillance. Nepal and Myanmar have eliminated trachoma as a public health problem. All kala-azar-endemic implementation units in Bangladesh have now reached the elimination target, which India and Nepal are also close to achieving. India, Indonesia and Nepal continue to roll out triple drug therapy to accelerate action against LF, which Myanmar is also preparing to introduce. Between 2010 and 2020, the Region reduced the total number of people who require interventions against NTDs by a remarkable 20%. 

    Across the Region, new challenges and opportunities have emerged. In 2021, WHO launched a global NTD road map that aims to ‘End the neglect’, setting a series of global targets and milestones to prevent, control, eliminate or eradicate NTDs, as well as cross-cutting targets that are aligned with the Sustainable Development Goals. In implementing the road map, the Region aims to accelerate momentum on its Flagship Priority, with a focus on several priorities. 

    First, optimizing existing interventions and leveraging new innovations to overcome last-mile gaps and challenges. For LF, the expanded roll-out of triple drug therapy with effective coverage promises to fast-track elimination in the Region’s remaining three LF-endemic countries. For leprosy, increased access to post-exposure prophylaxis will accelerate progress at the sub-national level, increasing protection for at-risk communities. For kala-azar, intensified efforts to detect cases early and ensure complete case management will continue to contain transmission. 

    Second, sustaining elimination status in the post-validation phase. When a country is validated for elimination as a public health problem, continued actions are required to maintain the targets, and even to advance interruption of transmission. For this, it is critical that vigilance is sustained, that donor fatigue is avoided, and that stakeholders continue to invest in post-validation interventions such as surveillance platform integration and accelerating R&D of new tools and strategies to make further progress. 

    Third, expanding the range of priority NTDs. On an array of NTDs – kala-azar, LF, trachoma and yaws – the Region has made tremendous, path-breaking progress. But where appropriate, countries should increasingly broaden their scope, for example by intensifying action to address snakebite envenoming – for which a new Regional action plan has now been launched – as well as dog-mediated rabies, dengue, schistosomiasis and other parasitic zoonoses such as taeniasis, echinococcosis and food-borne trematodiases. 

    The countdown to 2030 has already begun. Since 2014, under the Region’s Flagship Priority, countries have made bold investments, and achieved game-changing results – results that must continue to be built upon.

    On World NTD Day, WHO reiterates its commitment to accelerate the Region’s decade-long momentum to end the neglect, eliminate NTDs, and achieve a healthier, more equitable and sustainable future for everyone, everywhere. 

    February 1, 2023 0 comments
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    World Leprosy Day 2021 #BeatLeprosy
    Global Health NewsPH Important DayPublic Health News

    Urgently address gaps in leprosy services and accelerate efforts towards zero leprosy infection and disease: WHO

    by Public Health Update January 29, 2023
    written by Public Health Update

    New Delhi | January 29, 2023
    The World Health Organization today called on countries in the South-East Asia Region and globally to urgently address gaps in leprosy services disrupted by the COVID-19 pandemic and to accelerate efforts towards zero leprosy infection and disease, zero leprosy disability, and zero leprosy stigma and discrimination -the vision of the WHO Global Leprosy Strategy 2021-2030. “Leprosy is 100 percent curable when detected early, yet today in addition to COVID-19 related challenges, stigma and discrimination- both institutionalized and informal, continue to impede prompt diagnosis and treatment and facilitate onward spread. This has to change,” said Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia. 

    In 2021, 140 000 new leprosy cases were reported, with 95 percent of new cases coming from the 23 global priority countries. Of these, 6% were diagnosed with visible deformities or grade-2 disabilities (G2D). Over 6% of new cases were children under the age of 15, with 368 being diagnosed with grade-2 disabilities. Despite a 10% increase in new case reporting from 2020 to 2021, reported cases were 30% lower in 2021 than in 2019. This is not due to a decrease in transmission, but cases remaining undetected due to COVID-19-related disruptions. “Countries must continue to urgently restore leprosy services, with a focus on expanding single dose rifampicin chemoprophylaxis, intensifying active case finding, and ensuring prompt diagnosis and treatment with multidrug therapy,” said Dr Khetrapal Singh.  

    The Regional Director stressed on focusing attention on vulnerable populations, including women, children, immigrants, refugees, the elderly, the homeless, residents of deprived leprosy ‘colonies’ and those living in geographically inaccessible areas to end suffering and achieve zero leprosy. With at least 115 discriminatory laws reported to be in place in seven countries, WHO is calling on all countries to immediately and unequivocally revoke discriminatory laws and comply with and implement UN principles and guidelines for elimination of discrimination against persons affected by leprosy and their families. 

    Over the past decade, strong progress was achieved in several key areas of leprosy prevention, treatment, and control globally, with new child case detection reduced by 27% between 2010 and 2019, visible deformities at time of diagnosis reduced by 23% between 2014 and 2019 and new child case detection rate reduced to 7.6 per million children as opposed to 9.8 in 2014. With up to 50% of persons affected by leprosy facing psychiatric morbidities such as depression, anxiety disorders and suicide attempts, countries should also increase access for persons affected by leprosy and their families to mental health care, a key feature of the Global Leprosy Strategy, along with scaling up diagnosis and treatment.“Persons affected by leprosy must be engaged, empowered and involved in all aspects of decision-making, including in service design and delivery, and in social and economic activities. For this, community-based organizations and networks should be supported, nurtured and included in decision-making processes while expanding services that strengthen livelihoods,” said the Regional Director.

     “Act Now. End Leprosy.” is this year’s theme for World Leprosy Day. WHO reiterates its steadfast support to leprosy-affected countries in the South-East Asia Region and across the world to drive rapid, equitable and sustained progress towards our targets and goals, achieving zero leprosy infection and disease, zero leprosy disability, and zero leprosy stigma and discrimination by 2030. 

    “Leprosy has afflicted humanity for millennia; however, we can be the generation that ends the transmission of leprosy, end suffering, ensuring we leave no one behind, “said Dr Poonam Khetrapal Singh.

    January 29, 2023 0 comments
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    Refugee and Migrant Health Toolkit
    International HealthInternational Plan, Policy & GuidelinesPublic Health

    One-stop resource toolkit launched on refugee and migrant health

    by Public Health Update January 28, 2023
    written by Public Health Update

    WHO developed a Refugee and migrant health toolkit, a web-based one-stop comprehensive platform of tools and resources, to support the global, regional, and country efforts in implementing health and migration-related activities.

    Migration and displacement often impact people’s physical and mental health and well-being, especially for those who were forced to flee their homes. It can leave particular impact on people displaced across borders or within their own country and those in an irregular situation or with vulnerabilities and specific health and protection needs.  

    Refugee and migrants could face many factors such as their migratory status; national migration policies; and linguistic, cultural, economic, and social barriers that often hinder their access to health services.

    It is essential that countries have strong and inclusive health systems equipped with the necessary knowledge and tools to help decision-makers and health personnel meet the health needs and rights of these populations and advance the health and migration agenda.

    “We developed the toolkit to assist countries in designing, developing, and implementing health and migration policies, strategies and services based on evidence and technical soundness,” said Dr Santino Severoni, Director of the WHO Health and Migration Programme. “We hope that Member States will use this single-source, operational and user-friendly toolkit in the implementation of health and migration-related activities, including the Global Action Plan (GAP) “Promoting the health of refugees and migrants, 2019-2023”, and regional action plans with similar goals.”

    A one-stop source of information, guidance and tools

    The toolkit contains modules for each of the six priorities of the GAP 2019-2023, along with 18 tools:

    • Module 1: short- and long-term public health interventions to promote refugee and migrant health. This module’s tools highlight common communicable and noncommunicable diseases, including mental health, public health emergencies, and immunization.
    • Module 2: mainstreaming refugee and migrant health in the global, regional, and country agenda and access to inclusive people-centred health services. Tools in this module discuss how to mainstream refugees and migrants into plans and initiatives; access to primary health care and infrastructure; maternal and child health; and sexual and reproductive health, along with gender-based violence. 
    • Module 3: tackling the social determinants of health and workers’ and occupational health and safety. Tools in this module highlight urban health, climate change, water and sanitation, occupational and workers’ health and safety, and how these sectors can help close the health equity gap amongst migrants and the overall population.
    • Module 4: country assessment, health monitoring, and health information systems. Tools in this module aim to strengthen the data collection methodology, analytics, health information systems, monitoring, and evaluation of migrant health.
    • Module 5: communication, countering misperception, and increasing community engagement. Tools in this module tackle communication and countering misinformation and the engagement of refugees and migrants in decision-making processes and campaigns at national and local levels for the successful implementation of public health programs.
    • Module 6: collaboration and partnership. This module provides guidance on mechanisms and strategies to enhance cooperation and partnerships across countries, regions, UN system agencies, and other stakeholders to work toward global health and humanitarian collaboration. 

    Each module includes a summary of key topics, a list of actions for consideration for stakeholders, links to the latest available guidance, case studies and reports, training materials, and other WHO publications on relevant themes. An introductory section provides essential knowledge concerning refugees’ and migrants’ health, addressing definitions, global trends, legal frameworks, and resolutions.

    The tools are not prescriptive. They can be adapted to each specific context, region, and community to inform context-specific analysis and approaches to refugee and migrant health.

    The go-to platform for policy-makers, planners, and implementers

    WHO Member States, WHO country offices, United Nations partners, and nongovernmental actors working in refugee and migrant health can use the Refugee and migrant health toolkit to implement health programs that are truly equitable and inclusive and to evaluate and bolster national health plans and strategies that promote the health of refugees and migrants and host populations.

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    January 28, 2023 0 comments
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