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Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map

Van Katwyk, S. R.; Grimshaw, J. M.; et al (2019) C2

BACKGROUND: Growing political attention to antimicrobial resistance (AMR) offers a rare opportunity for achieving meaningful action. Many governments have developed national AMR action plans, but most have not yet implemented policy interventions to reduce antimicrobial overuse. A systematic evidenc...e map can support governments in making evidence-informed decisions about implementing programs to reduce AMR, by identifying, describing, and assessing the full range of evaluated government policy options to reduce antimicrobial use in humans. METHODS AND FINDINGS: Seven databases were searched from inception to January 28, 2019, (MEDLINE, CINAHL, EMBASE, PAIS Index, Cochrane Central Register of Controlled Trials, Web of Science, and PubMed). We identified studies that (1) clearly described a government policy intervention aimed at reducing human antimicrobial use, and (2) applied a quantitative design to measure the impact. We found 69 unique evaluations of government policy interventions carried out across 4 of the 6 WHO regions. These evaluations included randomized controlled trials (n = 4), non-randomized controlled trials (n = 3), controlled before-and-after designs (n = 7), interrupted time series designs (n = 25), uncontrolled before-and-after designs (n = 18), descriptive designs (n = 10), and cohort designs (n = 2). From these we identified 17 unique policy options for governments to reduce the human use of antimicrobials. Many studies evaluated public awareness campaigns (n = 17) and antimicrobial guidelines (n = 13); however, others offered different policy options such as professional regulation, restricted reimbursement, pay for performance, and prescription requirements. Identifying these policies can inform the development of future policies and evaluations in different contexts and health systems. Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review. CONCLUSIONS: To our knowledge this is the first study to provide policy makers with synthesized evidence on specific government policy interventions addressing AMR. In the future, governments should ensure that AMR policy interventions are evaluated using rigorous study designs and that study results are published. more

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Disability Within the African Culture

Eskay M., Onu V. C., Igbo J. N., Obiyo N., Ugwuanyi L US-China Education Review (2012) CC

special education, culture, psychology, education, policy

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Empfehlungen zur infektiologischen Versorgung von Flüchtlingen im Kindes- und Jugendalter in Deutschland

J.Pfeil, R. Kobbe, S. Trapp, C. Kitz, M. Hufnagel (2015) CC

Monatsschrift Kinderheilkunde December 2015, Volume 163, Issü 12, pp 1269-1286. Stellungnahme der Deutschen Gesellschaft für Pädiatrische Infektiologie, der Gesellschaft für Tropenpädiatrie und Internationale Kindergesundheit und des Berufsverbandes der Kinder- und Jugendärzte

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An overview of heart failure in low- and middle-income countries

Agbor, V.N.; Ntusi, N.A.B.; Noubiap, J.J. Cardiovascular Diagnosis and Therapy (2020) CC

Heart failure (HF) is a global public health concern with disproportionate socioeconomic, morbidity and mortality burden on low- and middle-income countries (LMICs). This review summarises contemporary data on the demographic and clinical characteristics, aetiologies, treatment, economic burden and ... more

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Gesundheitskompetenz von Menschen mit Migrationshintergrund in Deutschland

E.-M. Berens, Klinger, J.; Mensing, M.; et al. IZGA (2022) CC

Die vorliegende Studie HLS-MIG liefert erstmals für Deutschland detaillierte Daten zur Gesundheitskompetenz von Menschen mit Migrationshintergrund. Sie konzentriert sich auf die beiden großen Einwanderungsgruppen: Menschen mit ex-sowjetischem und türkischem Migrationshintergrund. Die Studie schli... more

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Junge Geflüchtete auf dem Weg in ein eigenverantwortliches Leben begleiten

N. González Méndez de Vigo, J. Karpenstein und F. Schmidt Bundesfachverband unbegleitete minderjährige Flüchtlinge (2017) C1

Ein Leitffaden für Fachkräfte

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The social context of schistosomiasis and its control: an introduction and annotated bibliography

Bruun, B.; Aagaard-Hansen, J.; Watts, S. World Health Organization WHO; Institutional Repository for Information Sharing iris (2008) C_WHO

Schistosomiasis is widely recognized as a disease that is socially determined. An understanding of the social and behavioural factors linked to disease transmission and control should play a vital role in designing policies and strategies for schistosomiasis prevention and control. To this must b... more

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Guías de diagnóstico, tratamiento y prevención de la tuberculosis

Palmero, D.; Muñiz F. J., de Casado G. C. , et al. (2011) CC

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The social context of schistosomiasis and its control

Brunn, B.; Aagaard-Hansen, J.; Watts, S. World Health Organization WHO (2008) C_WHO

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Include us! A study of disability among Plan International’s sponsored children FULL REPORT

Monteath-van Dok, A., Gallinetti, J., Kuper, H., Zuurmond, M., Danquah, L., Wing, K., &; Evans, J. Plan International (2013) C2

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Integration gelungen? Lebenswelten und gesellschaftliche Teilhabe von (Spät) Aussiedlerinnen und (Spät) Aussiedlern

N. Friedrichs; Graf, J. Sachverständigenrat für Migration und Integration (2022) CC

Die Studie untersucht auf Basis von Daten des Mikrozensus sowie des SVR Integrationsbarometers den Stand der Integration von (Spät) Aussiedlerinnen und (Spät)Aussiedlern in Deutschland in zahlreichen Lebensbereichen

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2022 Global Atlas of Medical Devices

Velazquez Berumen, A.; S. Groth, G. Forte et al. World Health Organisation (WHO) (2022) C_WHO

The country profiles incorporate facts indicating the national status of medical devices in areas such as: medical device policies, regulations, incorporation, lists, inventories, nomenclature, health technology assessment, management, and biomedical engineering resources. This publication is int... more

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Understanding land-use change conflict: a systematic review of case studies

de JOng, L.; S. de Bruin, J. Knoop and J. van Vliet (2021) CC

Journal of Land Use Science, 16:3, 223-239, DOI: 10.1080/1747423X.2021.1933226

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Progress towards the UNAIDS 90–90-90 goals by age and gender in a rural area of KwaZulu-Natal, South Africa: a household-based community cross-sectional survey

H. Huerga; G. van Cutsem; J. B. Farhat; et al. MBC Public Health; BioMed Central (2018) CC

BMC Public Health, Volume 18, Article number: 303 (2018) https://doi.org/10.1186/s12889-018-5208-0 Published: 02 March 2018

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The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town

Swarts, L.; S. Lahri, and D.J. van Hoving (2021) CC

African Journal of Emergency Medicine Volume 11, Issue 1, March 2021, Pages 165-170

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Urban social stress e Risk factor for mental disorders. The case of schizophrenia

Florian Lederbogen, Leila Haddad, Andreas Meyer-Lindenberg (2013) C2

Environmental Pollution http://dx.doi.org/10.1016/j.envpol.2013.05.046

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A position statement and practical guide to the use of particulate filtering facepiece respirators (N95, FFP2, or equivalent) for South African health workers exposed to respiratory pathogens includin

Dheda, K.; et al. (2022) CC

Afr J Thoracic Crit Care Med 2021;27(4):Published online 22 October 2021. https://doi.org/10.7196/AJTCCM.2021.v27i4.173

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Planetare Gesundheit – transformative Lehr- und Lernformate zur Klima- und Nachhaltigkeitskrise für Gesundheitsberufe

Wabnitz K., Galle S., Hegge L., et al. (2020) CC

Die Klimakrise stellt die größte Bedrohung der menschlichen Gesundheit im21. Jahrhundert dar. Die mit ihr einhergehenden Umweltveränderungen, die unter anderem zu Hitzewellen, Überflutungen und Unterernährung durch Ernährungsunsicherheit führen, wirken sich bereits heute negativ auf die Ge... more

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Psychological treatments for depression and anxiety disorders in low-and middle-income countries: a meta-analysis

E van‘t Hof, P Cuijpers, W Waheed, DJ Stein (2011) CC

Afr J Psychiatry 2011;14:200-207

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Antimicrobial stewardship in a rural regional hospital – growing a positive culture

Juanid, E.; L. Jenkins, H. Swanepoel, et al. (2018) CC

S Afr Med J 2018;108(7):546-550. DOI:10.7196/SAMJ.2018.v108i7.13149 Antimicrobial stewardship programmes have been introduced worldwide in response to the rise in antimicrobial resistance. The World Health Organization has mandated each Member State to produce a plan to address this problem. We rep... more