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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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Framework for collaborative action on tuberculosis and comorbidities

World Health Organization WHO (2022) C_WHO

Addressing comorbidities and risk factors for TB is a crucial component of Pillar one of the End TB Strategy, which focuses on integrated patient-centred care and prevention, including action on TB and comorbidities. The Framework for collaborative action on TB and comorbidities aims to support coun... more

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Special edition: HIV in MSM

I. Steffens; K. Hagmaier; K. Wilson; et al. Eurosurveillance (Europe’s journal on infectious disease epidemiology, prevention and control); European Centre for Disease Prevention and Control (2015) C2

Eurosurveillance Impact Factor 5.7 June 2015 www.eurosurveillance.org Featuring a series of articles on HIV and STI epidemiology, prevention and control among MSM in Europe

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Trends in Child Health in Nigeria, 2003– 2013

Winter, Rebecca, Akinlo, Ambrose, and Lia Florey ICF International (2016) C2

DHS Further Analysis Reports No. 103

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What Motivates Women to Act? Perspectives on the Value of and Experiences in Using Antenatal Care in Khulna and Rangpur, Bangladesh

Nahar, Quamrun, Marzia Sultana, Kerry L. D. MacQuarrie, and Rasheda Khan National Institute of Population Research and Training (NIPORT), International Center for Diarrhoeal Disease Research, Bangladesh (icddr,b), and ICF International (2016) C1

DHS Further Analysis Reports No. 100

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Trends in Maternal Health Indicators in Sierra Leone, 2008-2013

Assaf, Shireen and Rebecca Winter ICF International (2015) C2

DHS Further Analysis Reports No. 97

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A Multi State Socio Economic Study of Women with Disabilities in India

UNDP – Government of India - SMRC Study (2007) C1

The study analyses the intersection of gender with disability issues by combining economic and social analysis across four states in India by using both quantitative and qualitative methods including gender analysis of disability budgets.

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Walking in our shoes: Perspectives of pregnant and breastfeeding women living with HIV on access to and retention in care in Malawi, Uganda and Zambia

Global Network of People Living with HIV (GNP+), International Community of Women Living with HIV (ICW) et al. (2017) C1

The study sought to understand the factors that facilitate women to adhere to treatment and return to health facilities for routine care from their own perspective. The researchers focused on Malawi, Uganda and Zambia, early adopters of the global guidance to provide lifelong treatment for pregnant ... more

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Trends in Maternal Health in Nigeria, 2003-2013

Mallick, Lindsay, Tukur Dahiru, and Kerry L.D. MacQuarrie ICF International (2016) C2

DHS Further Analysis Reports No 102

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Quality of Care and Client Satisfaction with Maternal Health Services in Nepal

Acharya, S., S. Sharma, B. Dulal, K. Aryal DHS; USAID (2018) CC

This report presents further analysis of the 2015 Nepal Health Facility Survey. Data analysis is based on the Donabedian framework for assessing quality of care in health services, which divides the indicators into three groups: structure, process, and outcome. The World Health Organization Service ... more

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Ситуация в регионах. Анализ результатов неофициальных консультаций с людьми, живущими с неинфекционными заболеваниями и психическими расстройствами

World Health Organization (WHO) World Health Organization (WHO) (2023) C_WHO

This report includes analysis from informal regional consultations in the African Region, the Caribbean and North America, Latin America, South-East Asia Region, European Region, Eastern Mediterranean Region, alongside three forums in the Western Pacific Region. It analyses the overarching similarit... more

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What does the next 25 years hold for global health?

S. Marzouk and H. Choi Royal Society of Tropical Medicine and Hygiene (2019) CC

Analysis of survey data looking at 25 years of progress in and the future challenges for tropical medicine and global health

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Child Health Services in Kenya

Annah Wamae, George Kichamu, Francis Kundu, Irene Muhunzu Kenya Working Papers (2009) C1

Based on further analysis of the 2004 Kenya Service Provision Assessment Survey

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Country Profile on Yellow Fever: Argentina

World Health Organisation (WHO) (2022) C_WHO

This country profile presents a summary and analysis of Argentina's status with yellow fever. It is part of a series of profiles on this topic, each focusing on a different country in the Region of the Americas. Argentina's geographical location presents a wide territorial extension throughout diffe... more

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تأملات إقليمية: تحليل المشاو ا رت الإقليمية غير الرسمية مع الأشخاص المتعايشين مع الأم ا رض غير السارية وحالات الصحة النفسية

World Health Organization (WHO) World Health Organization (WHO) (2023) C_WHO

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Trends in Neonatal Mortality in Rwanda, 2000-2010

Winter, Rebecca, Thomas Pullum, Anne Langston, Ndicunguye V. Mivumbi, Pierre C. Rutayisire, Dieudonne N. Muhoza, and Solange Hakiba Calverton, Maryland, USA: ICF International. (2013) C2

DHS Further Analysis Reports No. 88 - This further analysis examines levels, trends, and determinants of neonatal mortality in Rwanda, using data from the 2000, 2005, and 2010 Rwanda Demographic and Health Surveys (RDHS).

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Rwanda 2010: A Dramatic Change in Reproductive Behavior

Westoff, C.F., F. Ngabo, C. Munyanshongore, M.A. Umubyeyi, and E. Kagame Calverton, Maryland, USA: ICF International. (2013) C2

DHS Further Analysis Reports No. 90 - In Rwanda, between 2005 and 2010, there have been radical declines in the desired number of children, actual fertility, and child mortality along with a large increase in contraceptive prevalence. This study reviews trends in some of these measures. Multivariate... more

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Informe sobre Equidad en Salud 2016

L. Carvajal- Vélez; M.González; G. Hauck; et al. Fondo de las Naciones Unidas para la Infancia (Unicef); Tulane University (School of Public Health and Tropical Medicine) (2016)

Análisis de las inequidades en salud reproductiva, materna, neonatal, de la niñez y de la adolescencia en América Latina y el Caribe para guiar la formulación de políticas

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Family Planning and HIV Integration in Malawi

Laili Irani, Sara Pappa, and Pierre Dindi USAID; PEPFAR; Health Policy Project (2015) C1

A Policy analysis

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Operational handbook on tuberculosis: module 6: tuberculosis and co-morbidities, 3rd ed

World Health Organization WHO (2025) C_WHO

Addressing comorbidities and risk factors for tuberculosis (TB) is a crucial component of the World Health Organization (WHO)’s End TB Strategy. This WHO operational handbook on tuberculosis. Module 6: tuberculosis and comorbidities aims to support countries in scaling up people-centred care, base... more