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    Archived pages: 292 . Archive date: 2013-09.

  • Title: Welcome to Lifting The Burden
    Descriptive info: .. Language:.. English.. Home.. About Lifting The Burden.. The Global Campaign.. Managing the Project.. Horizontal Activities.. On Regional Fronts.. On Locality and National Fronts.. The First Seven Years.. Publications.. People.. Media Section.. Can I Help?.. Acknowledgements.. Contact us.. Login.. Contact.. Accessibility.. You are here:.. home.. Lifting The Burden.. in Official Relations with the World Health Organization.. The Global Campaign against Headache.. is a UK-registered charitable nongovernmental organization (charity number 1130642).. Its purpose is to direct the.. Global Campaign against Headache.. ENTER THE GLOBAL CAMPAIGN..  ...   (HALT) Index.. Headache Under-Response to Treatment (HURT) Index.. Information Leaflets.. What is Migraine.. What is Tension Type Headache.. What is Cluster headache.. What is Chronic Daily Headache.. Headache and Hormones.. Self Efficacy.. What's New.. Atlas of Headache Disorders, a joint publication of WHO and LTB, was launched in the European Parliament on May 3rd.. Press Box.. Headache among top 10.. Lifting The Burden Launched.. All Documents.. Make a Donation.. LTB Registered Charity no.. 1130642.. Site Map.. Disclaimer.. Copyright.. Privacy Policy.. web design.. by.. ionic..

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  • Title: Donate Now - Lifting The Burden Web Site
    Descriptive info: can i help?.. donate now.. Donate Now.. Thank you for considering a donation to.. Your donation can go to support all activities of the Campaign, or you can use the drop-down menu to specify a particular project from the list below:.. education for health-care providers [.. tell me more.. ].. general public and community education [.. Abu Dhabi [.. Bulgaria.. [.. China [.. Ethiopia [.. Georgia [.. Guatemala.. India [.. Pakistan [.. Russia.. Saudi Arabia [.. Serbia.. Uganda [.. United States  ...   and community education.. Abu Dhabi.. China.. Ethiopia.. Georgia.. India.. Pakistan.. Russia.. Saudi Arabia.. Serbia.. Uganda.. United States of America.. Zambia.. Donation Amount:.. 10.. 20.. 50.. 100.. Other Amount.. (eg 30):.. Select Preferred Currency.. Euro.. British Pound.. US Dollar.. Canadian Dollar.. Czech Koruna.. Danish Kroner.. Hong Kong Dollar.. Hungarian Forint.. Israeli New Shekel.. Japanese Yen.. Mexican Peso.. New Taiwan Dollar.. New Zealand Dollar.. Norwegian Krone.. Philippine Peso.. Polish Zloty.. Singapore Dollar.. Swedish Krona.. Swiss Franc.. Thai Baht.. Next.. Back.. Back to main menu..

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  • Title: About Lifting The Burden - Lifting The Burden Web Site
    Descriptive info: about lifting the burden.. is a charitable company registered in England (charity no.. 1130642).. The charity was incorporated on 24 June 2009.. Registered Office:.. 41 Welbeck Street, London W1G 8EA, UK.. Charitable Objects.. Directors and Company Secretary.. Memorandum and Articles of Association.. Members.. Accounts..

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  • Title: The Global Campaign - Lifting The Burden Web Site
    Descriptive info: the global campaign.. What is it?.. The Global Campaign against Headache is a worldwide partnership.. First and foremost, it is a collaboration with the World Health.. [more].. Purpose.. The Global Campaign's essential purpose is to bring better health care to people with headache, thereby reducing the burden.. The problem summarized.. Headache disorders are real and often lifelong illnesses.. They are very common, affecting men, women and children.. Vision, aims and mission.. The Global Campaign is a response to these global failures.. Its  ...   Campaign was conceived.. They also describe the background to the Campaign.. History.. Discussions with the World Health Organization (WHO), which led to the Global Campaign, began in late 1996.. The purpose.. Core values.. embraces the values of its partners.. In particular, the Campaign adopts the eight values described below as core.. The Global Campaign depends upon the people who contribute to it.. The Campaign is directed by the Global Campaign Director.. What is It?.. The Problem Summarized.. Vision, Aims and Mission.. Core Values..

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  • Title: Managing the Project - Lifting The Burden Web Site
    Descriptive info: managing the project.. Managing the project.. The Global Campaign against Headache is a global project, and an umbrella for many smaller projects.. Looked at as a whole.. Three stages, seven steps.. In this world of scarce resources and competing priorities, there will be no remedy to the problem of headache unless its scope.. Strategic approaches and bite-sized chunks.. Reducing the Campaign to seven steps is an aid towards manageability, but it remains a global project of potentially daunting.. Managing Project.. Three Stages, Seven Steps.. Strategic Approaches and Bite-sized Chunks..

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  • Title: Horizontal Activities - Lifting The Burden Web Site
    Descriptive info: horizontal activities.. Horizontal activities are internationally-relevant and cross-cultural activities that create favourable climate for change, and products that support change.. Learning.. The knowledge base supports the humanitarian, economic and political arguments for change.. It must be adequately representative.. Educating.. Education is the central pillar of the Global  ...   required at all levels.. [more.. Making aware.. Horizontal activities include public relations (PR).. Lifting The.. Burden.. relies on external funding and sponsorships to carry.. Supporting.. A set of clinical management aids are needed to support interventional programmes, most of which are based in primary care.. Making Aware..

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  • Title: On Regional Fronts - Lifting The Burden Web Site
    Descriptive info: on regional fronts.. There are six world regions defined by the.. World Health Organization.. : Africa; the Americas; Eastern Mediterranean; Europe; South-East Asia; Western Pacific.. Activities on regional fronts create awareness and, through that, favourable climate for change within the countries of each world region.. The principal objective, in each region, is to fill the gaps in knowledge for action.. This requires population-based studies on national or locality fronts.. Studies cannot be conducted in every country within a region, and it is unnecessary and would be wasteful to attempt to do so.. Sufficient are needed in order, reasonably, to extrapolate from countries generating data to others within a region that are geographical neighbours and culturally similar.. Acquisition of knowledge for action at regional level thus supports interventional programmes at.. national  ...   Europe.. : Georgia, Russia;.. South-East Asia.. : India, Indonesia;.. Western Pacific.. : China, South Korea.. Studies have been completed in Georgia, Russia, India and China and are underway in Ethiopia, Zambia, Pakistan and Saudi Arabia.. contributing to these activities.. __________________________________.. ____.. Once these epidemiological studies and the estimates of burden attributable to headache are complete,.. expects to show that headache disorders collectively are in the top 10 causes of disability in the world.. _______________________________________.. This will strongly support the next stage: following acquisition of knowledge for action, regional initiatives may include educational and awareness campaigns directed at the general public, health-care providers and health-policy makers.. Again these will support interventions at national or locality levels.. Region-based projects also include the development of.. principles of management.. in preparation for interventional programmes..

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  • Title: On Locality and National Fronts - Lifting The Burden Web Site
    Descriptive info: on locality and national fronts.. Localities are areas of common culture that may be larger or smaller than countries.. Activities on locality or national fronts support change in individual countries.. Current priority localities and countries.. In a vertically-integrated programme in each country,.. will:.. work with people and agencies locally;.. measure the headache burden;.. raise awareness of it amongst those who can cause change;.. put in place, and test, locally-appropriate health-care solutions.. This replicates, at local levels, the Campaign's.. three stages.. Wherever knowledge is insufficient of the scale and scope of the local burden attributable to headache,.. new epidemiological studies.. will be undertaken to fill that gap.. Unless the problem is known and understood, effective solutions to it cannot be proposed.. New epidemiological studies conducted on national or locality fronts not only produce knowledge for action on those fronts but also contribute to the estimate of global  ...   from beachheads through planned learning exercises to full demonstrational projects.. The strategy for effective intervention first and absolutely requires local champions.. Second it requires agreement upon the desired and achievable objectives - which should be based on local needs assessment - and upon local priorities.. Desirable is early contact with WHO Regional Offices and national WHO Representatives and/or collaborating centres.. The headache health-care model.. Evaluating the effects of change.. is the not-quite-final step.. must measure the effect of its interventions.. Ideally, although it is methodologically challenging, this is done in terms of reductions in population burden attributable to headache.. The final step is to revise, if evaluation indicates that they should be, and re-apply the modified interventions in plan-do-study-act cycles using standard management of change methodology.. Then they can be rolled out across the locality or country.. Current Priority Localities and Countries.. The Headache Health-care Model..

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  • Title: The First Seven Years - Lifting The Burden Web Site
    Descriptive info: the first seven years.. Filling the very large gaps in knowledge for action has been the first priority.. No standard methodology existed for population-based burden-of-headache studies, so.. developed its own.. The model calls for a representative mix of urban and rural population samples, encountered by door-to-door "cold-calling" at randomly-selected households; from each household, one adult, also randomly selected, is interviewed.. The structured diagnostic questionnaire, based on ICHD-II, is validated in a pilot study within the population to be surveyed.. Applying this model, studies have been completed in Georgia.. reference 1.. reference 2.. ].. [reference 3.. and Moldova.. reference 4.. and have reached the analysis stage in Russia.. reference 5.. , China.. reference 6.. and India.. Others are underway in Zambia and Pakistan, and more are planned in Saudi Arabia, Ethiopia and, possibly, Morocco, Abu Dhabi, Guatemala, Belize, Serbia and Brazil.. So far, these have revealed an extraordinarily high prevalence of daily headache in countries of Eastern Europe, highly prevalent migraine in Russia and, especially, in India (as represented by Karnataka State), and a prevalence of migraine in China, where it had been thought to be low, that is not very dissimilar from the global average of 11%.. reference 7.. has been a partner in.. Eurolight.. , a project supported by the European Commission Public Health Executive Agency to survey the impact of headache throughout Europe.. This has harvested information from people with headache in Austria, France, Germany, Ireland, Italy, Lithuania, Luxembourg, the Netherlands, Spain and the United Kingdom.. reference 8.. All of this will soon be published.. As for awareness, at the International Headache Congress in Kyoto in October 2005,.. presented the.. Kyoto Declaration on Headache.. This was drafted with the guidance and signed in the presence not only of WHO's Regional Director for the Western Pacific Region but also of representatives of the Japanese Ministry of Health, Labour and Welfare.. secured the inclusion of headache disorders in the.. Atlas of Neurological Disorders.. reference 9.. , produced in 2005 jointly by WHO and the World Federation of Neurology (WFN), and as a major chapter in WHO's later publication,.. Neurological disorders: public health challenges.. reference 10.. All of these, not only because they have the imprimatur of WHO but also because their content is compelling, enter the consciousness of politicians, bringing awareness to them of headache as a substantial cause of public ill-health.. reference 11.. So, too, does.. 's joint review with WHO showing the paucity of headache research in low- and middle-income countries.. reference 12.. , and even more so will the joint global survey for WHO's.. Atlas of Headache Disorders.. , published in May 2011.. reference 13.. The.. , one in the continuing series of Atlases published by WHO, includes data on headache and headache services gathered from more than 100 countries.. Politically more telling than all of these will be the inclusion of migraine and, for the first time, tension-type headache and medication-overuse headache in the new.. Global Burden of Disease Study 2010.. (GBD2010).. GBD2010 is a major revision of GBD2000, the importance of which, for the cause of headache, is that it attributed 1.. 4% of the global disability burden of disease to migraine, putting it in the top 20 causes of disability worldwide.. reference 14.. It is essential for the future that GBD2010 accords due weight to the worldwide burden of headache, and.. has put much into assimilating, analysing and presenting the evidence on which this depends.. As.. considers models of headache service delivery and organization, and endeavours to make evidence-driven recommendations for change.. reference 15.. reference 16.. , one clear principle is that most headache management belongs in primary care.. The numbers of people who need it make this so.. , but it is anyway the case that most headache management does not benefit from involvement of specialists.. Non-specialists in primary care can do it perfectly well, although they do need some training.. Education is a central pillar of beneficial change.. reference 17.. ] [.. reference 18.. Training doctors to be better at managing headache is a huge undertaking on its own, but completely necessary: the current deficiencies in training, themselves engendered by the low  ...   encourage availability worldwide of the drugs most needed to treat headache effectively.. As for actual intervention,.. has developed a headache-service model, to be tested soon in Georgia and later, if plans go forward, in Bulgaria and Abu Dhabi.. The model is adaptable, but involves first assessing local need, together with willingness to pay, upon which sustainability will depend.. The next steps in Georgia are to establish two clinics, provide free care and drugs to geographically-defined populations and show the benefits of treatment to people and of the service to population health.. Once these benefits are apparent, and only then, the service will charge according to willingness to pay in order to become self-sustaining.. Ultimately,.. must evaluate what it helps to create, and amend it, in an iterative process if necessary, to achieve what is best possible.. This raises a fundamental question: what is a good headache service?.. Surprisingly, or perhaps not, "quality" in the context of headache services has no accepted definition.. Indeed it is not easily defined, although in part it must lie in the attainment of good outcomes, which can be measured.. In preparing its proposals for headache-service quality evaluation, soon to be published,.. has undertaken a worldwide consultation.. This is a summary of what has happened in the first seven years of the Campaign.. Not everything has been included.. The activities represent many more than a single step.. reference 24.. ; more importantly, the steps are all in one and the right direction - each part of a cohesive, managed project directed towards a clear purpose.. They involve actions in 28 countries, a seventh of the world's total.. References.. Kukava M.. et al.. Validation of a Georgian language headache questionnaire in a population-based sample.. J Headache Pain.. 2007;.. 8.. : 321-324.. view document.. Katsarava Z.. Prevalence of cluster headache in the Republic of Georgia: results of a population-based study and methodological considerations.. Cephalalgia.. 2009;.. 29.. : 949-952.. Primary headache disorders in the Republic of Georgia: prevalence and risk factors.. Neurology.. 2009.. ;.. 73.. : 1796-1803.. Moldovanu I.. The prevalence of headache disorders in the Republic of Moldova: a population-based study.. 27.. : 673.. Ayzenberg I.. The burden of headache in Russia: validation of the diagnostic questionnaire in a population-based sample.. Eur J Neurol.. 2011;.. 18.. : 454-459.. Yu S-Y.. The burden of headache in China: validation of diagnostic questionnaire for a population-based survey.. 12.. : 141-146.. Stovner LJ.. The global burden of headache: a documentation of headache prevalence and disability worldwide.. : 193-210.. view document].. Andrée C.. Development and validation of the EUROLIGHT questionnaire to evaluate the burden of primary headache disorders in Europe.. 2010;.. 30.. : 1082-1100.. World Health Organization, World Federation of Neurology.. Atlas: Country resources for neurological disorders 2004.. Geneva: WHO 2004.. Geneva: WHO 2007.. Martelletti P.. The definitive position of headache among the major public health challenges.. An end to the slippery slope of disregard [editorial].. : 149-151.. Mateen F.. Headache disorders in developing countries: research over the past decade.. 2008;.. 28.. : 1107-1114.. Atlas of headache disorders and resources in the world 2011.. Geneva: WHO 2011.. World Health Report 2001.. Geneva: WHO 2001.. Antonaci F.. Proposals for the organisation of headache services in Europe.. Intern Emerg Med.. 3.. : S25-S28.. Steiner TJ.. on behalf of the European Headache Federation and.. : the Global Campaign against Headache.. Recommendations for headache service organisation and delivery in Europe.. (DOI: 10.. 1007/s10194- 376011-0320-x) (in press).. Steiner TJ.. Lifting the burden: the global campaign against headache.. Lancet Neurol.. 2004;.. : 204-205.. : The global campaign to reduce the burden of headache worldwide.. 2005;.. 6.. : 373-377.. [view document].. The Global Campaign to Reduce the Burden of Headache Worldwide.. The International Team for Specialist Education (ITSE).. : 261-263.. European principles of management of common headache disorders in primary care.. suppl 1: S3-S21.. Information for patients.. suppl 1: S26-S39.. The HALT and HART indices.. suppl 1: S22-S25.. Peters M.. Translation protocols.. suppl 1: S40-S47.. "A journey of a thousand miles begins with a single step" (attributed to Confucius).. Click.. here.. to view the pdf file.. Lifting The Burden: the first 7 years.. This file requires Adobe Reader.. Get Adobe Reader..

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  • Title: Publications - Lifting The Burden Web Site
    Descriptive info: publications.. The following publications from the Global Campaign, or produced with its support, are viewable on the site or via links to other sites.. Follow the links.. Headache disorders and public health.. Geneva: WHO 2000.. Headache disorders.. Fact sheet no.. 277.. Geneva: WHO 2003.. Martelletti P, Haimanot RT, Lainez MJA, Rapoport AM, Ravishankar K, Sakai F, Silberstein SD, Vincent M, Steiner TJ.. The global campaign to reduce the burden of headache worldwide.. The international team for specialist education (ITSE).. Leonardi M, Steiner TJ, Scher AT, Lipton RB.. The global burden of migraine: measuring disability in headache disorders with WHO's Classification of Functioning, Disability and Health (ICF).. : 429-440.. Diener H-C, Steiner TJ, Tepper SJ, Migraine - the forgotten epidemic: development of the EHF/WHA Rome Declaration on Migraine.. 2006; 7: 433-437.. Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher AI, Steiner TJ, Zwart J-A.. Kukava M, Dzagnidze A, Mirvelashvili E, Djibuti M, Fritsche G, Jensen R, Stovner LJ, Steiner TJ, Katsarava Z.. Katsarava Z, Kukava M, Mirvelashvili E, Tavadze A, Dzagnidze A, Djibuti M, Steiner TJ.. A pilot methodological validation study for a population-based survey of the prevalences of migraine, tension-type headache and chronic daily headache in the  ...   Jensen R, Stovner LJ, Steiner TJ.. Neurology.. Andrée C, Vaillant M, Barré J, Katsarava Z, Lainez JM, Lair M-L, Lanteri-Minet M, Lampl C, Steiner TJ, Stovner LJ, Tassorelli C, Sándor PS.. Steiner TJ, Birbeck GL, Jensen R, Katsarava Z, Martelletti P, Stovner LJ.. 2010; 11: 451-455.. Yu S-Y, Cao X-T, Zhao G, Yang X-S, Qiao X-Y, Fang Y-N, Feng J-C, Liu R-Z, Steiner TJ.. 2011, 12, 141-146.. These files may require Adobe Reader.. (WHO_LTB_Atlas_of_Headache_Disorders.. pdf | 4.. 43 MB).. China validation.. (China_validation.. pdf | 162 kB).. First 7 years.. (LTB_first_7_years.. pdf | 283 kB).. GC-ITSE.. (GC-ITSE.. pdf | 36 kB).. Georgia Cluster headache.. (Georgia_cluster_headache.. pdf | 101 kB).. Georgia pilot.. (Georgia_pilot.. pdf | 75 kB).. Georgia validation.. (Georgia_validation.. pdf | 56 kB).. Global burden of headache.. (Stovner_2007_The_global_burden_of_headache.. pdf | 296 kB).. Harry Potter.. (Harry_Potter.. pdf | 62 kB).. JHP Aids for management.. (JHP_Aids_for_management.. pdf | 238 kB).. JHP editorial 0607.. (JHP_editorial_0607.. pdf | 135 kB).. JHP ICF 2005.. (JHP_ICF_2005.. pdf | 106 kB).. Lancet-N.. (LTB_Lancet-N.. pdf | 69 kB).. LTB JHP 2005.. (LTB_JHP_2005.. pdf | 49 kB).. Principles of management.. (Principles_of_management.. pdf | 211 kB).. Research in LAMI countries.. (Research_in_LAMI_countries_online_version.. pdf | 115 kB).. Rome Declaration.. (Rome_Declaration_v2.. pdf | 48 kB)..

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  • Title: People - Lifting The Burden Web Site
    Descriptive info: people.. Listed here, with apologies for inadvertent errors and omissions, are the very many people worldwide who have collaborated in or otherwise made valuable contributions to the various activities of the Global Campaign.. is immensely grateful to all of them.. The Global Burden of Headache.. Database for Burden-of-headache Studies..  ...   Health (ICF).. Work Impact Studies.. Education for Health-care Providers.. The Handbook of Headache.. General Public and Community Education.. Clinical Management Aids.. Writing and Editorial Review Group.. WHO's List of Essential Medicines.. Evidence Base for Treatment.. Translation Protocols.. Service Organization and Delivery.. Service Quality Evaluation.. The Eurolight Project.. National Projects..

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    Archived pages: 292