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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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A New Agenda for Mental Health in the Americas: Report of the Pan American Health Organization High-Level Commission on Mental Health and COVID-19

Pan American Health Organisation PAHO (2024) C_WHO

Unmet mental health needs in the Region of the Americas are a leading source of morbidity and mortality, which result in tremendous health, social, and economic consequences. The COVID-19 pandemic has exacerbated the mental health crisis in the Region, necessitating urgent action at the highest leve... more

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National HIV and AIDS Strategic Plan 2015/2016-2019/20
recommended

Uganda AIDS Commission; Ministry of Health (2015) C1

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Malawi Country Operational Plan 2021 Strategic Direction Summary May 19, 2021

U.S. President's Emergency Plan for AIDS Relief (2021) CC2

PEPFAR Malawi’s Country Operational Plan (COP) 2021 reflects a culmination of strong interagency collaboration between the PEPFAR Malawi team, Government of Malawi (GoM), and civil society organizations (CSOs) to mitigate the devastating impacts of COVID-19 and sustain progress achieved over the l... more

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National Training Package on Provider-initated Paediatric HIV Testing & Counselling in Zambia.Participant Manual
recommended

ICAP; CDC; University Teaching Hospital,; Ministry of Health, Zambia, et al. (2013) C1

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The Situational Analaysis on the Prevalence of torture in Uganda

African Centre for Treatment and Rehabilitation of Torture Victims (ACTV) (2015) C1

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Health equity for persons with disabilities: guide for action
recommended

World Health Organisation (WHO) (2024) C_WHO

An estimated 1.3 billion people globally experience significant disability. This figure has grown over the last decade and will continue to rise due to demographic and epidemiological changes. In 2022, the World Health Organization launched the Global report on health equity for persons with disabil... more

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The Impacts of Climate Change on Health

The EcoHealth Alliance, London School of Hygiene & Tropical Medicine. Reckitt (2021) CC

The new review paper, The Impacts of Climate Change on Health, identifies the extent to which increasing emissions, extreme weather and temperatures elevate health risks, from infectious disease to malnutrition, and assesses the associated health burden. It concludes that the health burden will exce... more

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Mental health, disability and human rights: WHO QualityRights core training - for all services and all people: course guide

World Health Organization WHO (2022) C_WHO

Les modules de formation et d’orientation QualityRights ont été élaborés pour renforcer les connaissances, les compétences et la compréhension des principales parties prenantes sur la manière de promouvoir les droits des personnes en situation de handicap psychosocial, intellectuel ou cogni... more

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Healthier Populations in Africa

World Health Organisation (WHO) (2023) C_WHO

Promoting health and preventing disease is a critical component of the effort required to achieve Universal Health Coverage (UHC). to date, efforts to achieve UHC have focused mostly on strengthening health systems and their capacities to provide curative care. However, experience from the COVID-19 ... more

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The International HIV/AIDS Alliance in Ukraine

H. Bergmann; S. Stash USAID (2010) C2

Promising Approaches to Combination HIV Prevention Programming in Concentrated Epidemics AIDSTAR-One CASE STUDY SERIES May 2010

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Clinical manifestations and diagnosis of Ebola virus disease

M. Bray, M.S.Hirsch, D.Mitty, et al. (2015)

Up-to-date Literature review current through: Jan 2015. | This topic last updated: Jan 29, 2015.

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Regional implementation framework for elimination of cervical cancer as a public health problem: 2021–2030
recommended

World Health Organisation (WHO) (2023) C_WHO

Cervical cancer continues to be a significant public health problem and a major cause of premature mortality among women, disproportionately affecting the socioeconomically disadvantaged population in low- and middle-income countries (LMICs). In the absence of implementing the known evidence-based, ... more

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Handreichung Humanitäre Hilfe auf Distanz

VENRO Verband Entwicklungspolitik und Humanitäre Hilfe (2020) C1

Empfehlungen zur Umsetzung von Projekten in Fernsteuerung Die Handreichung gibt einen Überblick über verschiedene Arten der Fernsteuerung. Sie zeigt Instrumente und Fallbeispiele auf, die NRO bei der Planung und Umsetzung solcher Projekte unterstützen.

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Situational Brief: Impact of Covid-19 on forcibly displaced persons inside Syria

Marzouk M., Rayes D., Y. Douedari et al. Lancet Migration (2020) CC

Over nine years of protracted and violent conflict in Syria has decimated its health system,killed an estimated 586,000 people and forcibly displaced more than half the 22 million pre-war population from their homes. As of June 2020, a total of 6.2 million Syrians (of whom 40% are children) are inte... more

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In Control. A Practical Handbook for Professionals Working in Health Emergencies Internationally
recommended

Germany’s National Public Health Institute (RKI), et al. (2021) C1

In Control imparts knowledge, provokes reflection and triggers curiosity. The first half of the book provides an overview of the organisations, principles, frameworks and themes that every professional deploying to health emergencies should be aware of. The second half of the book provides practical... more

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COVID-19: Occupational health and safety for health workers
recommended

World Health Organization WHO (2021) C_WHO

Interim guidance 2 February 2021 . Available in Arabic, Chinese, English, French, Ukranian, Russian Health workers are at the front line of the COVID-19 outbreak response and as such are exposed to different hazards that put them at risk. Occupational hazards include exposure to SARS-CoV-2 and othe... more

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Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso

Ouedraogo Y., Furlane G., Fruhauf T. et al. Global Health: Science and Practice (2018) CC

Background: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso wer...e limited to temporary screening campaigns. Program Description: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities. Women with larger lesions or lesions suspect for cancer were referred for loop electrosurgical excision procedure (LEEP). The program trained providers, raised awareness through demand generation activities, and strengthened monitoring capacity. Methods: Data on program activities, service provision, and programmatic lessons were analyzed. Three data collection tools, an individual client form, a client registry, and a monthly summary sheet, were used to track 3 key CECAP service indicators: number of women screened using VIA, proportion of women who screened VIA positive, and proportion of women screening VIA positive who received same-day cryotherapy. Results: Over 4 years, the program screened 13,999 women for cervical cancer using VIA; 8.9% screened positive; and 65.9% received cryotherapy in a single visit. The proportion receiving cryotherapy on the same day started at a high of 82% to 93% when services were provided free of charge, but dropped to 51% when a user fee of $10 was applied to cover the cost of supplies. After reducing the fee to $4 in November 2012, the proportion increased again to 78%. Implementation challenges included difficulties tracking referred patients, stock-outs of key supplies, difficulties with machine maintenance, and prohibitive user fees. Providers were trained to independently monitor services, identify gaps, and take corrective actions. Conclusions: Following dissemination of the results that demonstrated the acceptability and feasibility of the CECAP program, the Burkina Faso Ministry of Health included CECAP services in its minimum service delivery package in 2016. Essential components for such programs include provider training on VIA, cryotherapy, and LEEP; provider and patient demand generation; local equipment maintenance; consistent supply stocks; referral system for LEEP; non-prohibitive fees; and a monitoring data collection system. more

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A People’s Vaccine for Refugees: Ensuring access to COVID-19 vaccines for refugees and other displaced people

Oxfam (2021) C1

For most people in displacement contexts, there are simply not enough vaccines available in the places where they are hosted: 85% of refugees are hosted in lower- and middle-income countries, while in the first six months of this year 85% of vaccines went to wealthy countries; lower- and middle inco... more

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Holding the line: communities as first responders to COVID-19 and emerging health threats

UNAIDS (2022) C_WHO

National HIV and AIDS Strategic Plan 2015/2016-2019/20 recommended

National Training Package on Provider-initated Paediatric HIV Testing & Counselling in Zambia.Participant Manual recommended

Health equity for persons with disabilities: guide for action recommended

Regional implementation framework for elimination of cervical cancer as a public health problem: 2021–2030 recommended

In Control. A Practical Handbook for Professionals Working in Health Emergencies Internationally recommended

COVID-19: Occupational health and safety for health workers recommended

National HIV and AIDS Strategic Plan 2015/2016-2019/20
recommended

National Training Package on Provider-initated Paediatric HIV Testing & Counselling in Zambia.Participant Manual
recommended

Health equity for persons with disabilities: guide for action
recommended

Regional implementation framework for elimination of cervical cancer as a public health problem: 2021–2030
recommended

In Control. A Practical Handbook for Professionals Working in Health Emergencies Internationally
recommended

COVID-19: Occupational health and safety for health workers
recommended