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Kingston; Jamaica. Ministry of Health; [2017?]. 14 p. ilus, tab.
Não convencional em Inglês | MedCarib | ID: biblio-906598


The incidence of Microcephaly and / or Guillain-Barré syndrome (GBS) has increased in several countries, concurrent with a Zika virus outbreak. Physicians, nurses and other healthcare providers must be aware of the strategies to be utilized when consulting with the following groups of persons and their families: pregnant women; pregnant women with suspected or confirmed Zika virus infection; pregnant women who know they carry a child with suspected microcephaly; caregivers and families of an infant with microcephaly; and persons with GBS and other neurological disorders. Psychosocial support is the process of addressing the psychological and social issues associated with a particular crisis. In this instance, the crisis is related to the Zika virus outbreak. The team involved in the provision of psychological support includes but is not limited to the: primary healthcare provider; Obstetrician / Gynaecologist; Paediatrician; Registered Nurse / Midwife; Neurologist, or other physician or surgeon.

Humanos , Feminino , Gravidez , Síndrome de Guillain-Barré , Microcefalia , Sistemas de Apoio Psicossocial , Zika virus , Gestantes/psicologia
Georgetown; Guyana. Ministry of Public Health;PAHO; June 2015. 55 p. ilus, tab.
Não convencional em Inglês | MedCarib | ID: biblio-906529


In response to the malaria challenge in Guyana, the Ministry of Public Health of Guyana outlines the best standardized treatment of malaria for the public and private sector by promoting the development of one strategy for early diagnosis and treatment for malaria patients. This is a review of the first version developed in 2004 which now includes updated content on further complicated treatment guidelines and malaria in pregnancy. The manual includes the epidemiological situation of malaria in Guyana up to 2014; the antimalarial treatment policy; and the timely diagnosis and adequate doses of the treatment for complicated and uncomplicated malaria cases

Humanos , Masculino , Feminino , Gravidez , Antimaláricos/administração & dosagem , Malária/prevenção & controle , Antimaláricos/normas , Guiana/epidemiologia , Gestantes
Rev. panam. salud pública ; 22(6): 376-382, Dec. 2007. tab
Artigo em Inglês | MedCarib | ID: med-17356


OBJECTIVES: To study utilization of HIV-related health care services and to describe the health status of HIV-infected women diagnosed through antenatal voluntary counseling and testing (VCT) for HIV infection in Barbados. METHODS: This is a descriptive study. The study population includes all HIV-infected women in Barbados diagnosed as HIV-infected through VCT for HIV infection during 1996-2004. RESULTS: The median duration of HIV infection from time of diagnosis to the time of this report for the 163 women diagnosed during the study period was 72 months (low range, 9 months; high range, 117 months). Of the 163 women, 102 (62.6%) had attended the centralized HIV/AIDS clinic for follow-up (care, treatment, and monitoring), whereas 61 (37.4%) had never attended the clinic. The median time lag between diagnosis of HIV infection and first presentation to the HIV/AIDS clinic was 36 months (low range, 1 month; high range, 114 months). Of the HIV-infected women who attended the HIV/AIDS clinic, more than one-fourth had severe immunodeficiency at the time of their first follow-up visit. Of the 53 women undergoing highly active anti-retroviral therapy (HAART) at the time of the study, 23 (43.4%) began the therapy within three months of their first follow-up visit. CONCLUSIONS: Early HIV diagnosis through antenatal VCT is not enough to ensure that women with HIV will get adequate and timely HIV-related health care. These women suffer significant premature mortality, largely related to inadequate follow-up.

Humanos , Infecções por HIV/epidemiologia , Infecções por HIV/terapia , Gestantes , Nível de Saúde , Barbados , Região do Caribe/epidemiologia
Rev. panam. salud publica ; 15(4): 242-8, Apr. 2004. ilus, tab
Artigo em Inglês | MedCarib | ID: med-17014


Objective. To determine the success of voluntary counseling and testing (VCT) for HIV and to identify the barriers to implementation when VCT is offered as a package integrated with antenatal care. Methods. In this descriptive study we investigated antenatal VCT and HIV testing in all post-parturient women at the Queen Elizabeth Hospital, Bridgetown, Barbados, who gave birth between April and September 2002. Data were collected retrospectively from the antenatal care record and by recall during one-on-one interview. Results. Of 1, 342 women surveyed, 954 (71.1 percent) received antenatal counseling and were offered an HIV test. Of the 954 women offered HIV test after counseling, 914 (95.8 percent) agreed to have the test. Among the women surveyed, 1, 106 (82.4 percent) had a documented HIV test, 914 (85.7 percent) were tested after documented pretest counseling, and another 192 (14.3 percent) were tested without documented pretest counseling. Overall, 822 of the 1, 342 women surveyed (61.2 percent) had a documented HIV test result in their antenatal case record at the time of delivery. Of the 1, 106 women who had a documented HIV test, the test results were unavailable at the time of delivery in only 284 (21.2 percent). Among the reasons for unavailability of a documented HIV test result, the most common (45.0 percent) was that no test was done, followed by unclear documentation of the result. Conclusions. Twenty-nine percent of surveyed women failed to receive antenatal VCT and this is a cause of concern, for both the high coverage and good quality counseling are key to the overall success and cost effectiveness of the VCT program. Fourteen percent of the women surveyed who did not receive VCT were tested for HIV, a situation that is undesirable because some women may be tested without understanding the full implication of this policy, and as a result the overall impact of VCT may be reduced (AU)

Humanos , Feminino , Sorodiagnóstico da AIDS/estatística & dados numéricos , Barbados , Sorodiagnóstico da AIDS , Aconselhamento , Gestantes , Aconselhamento/estatística & dados numéricos , Região do Caribe