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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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Prevention and management of CVD in LMICs: why do ethnicity, culture, and context matter?

Anand, S.; Bradshaw, C.; Prabhakaran, D. BMC Medicine (2020) CC

Background Low- and middle-income countries now experience the highest prevalence and mortality rates of cardiovascular disease. Main text While improving the availability and delivery of proven, effective therapies will no doubt mitigate this burden, we posit that studies evaluating cardiovasc... more

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Implementation plan and monitoring and evaluation framework of the WHO European framework for action to achieve the highest attainable standard of health for persons with disabilities 2022–2030

World Health Organisation (WHO) (2022) C_WHO

This background document (‎EUR/RC72/BG/7)‎ was considered and adopted by the WHO Regional Committee for Europe at its 72nd session (‎Tel Aviv, Israel, 12–14 September 2022)‎, together with the working document (‎EUR/RC72/7)‎ and information document (‎EUR/RC72/INF./4)‎. The Regiona... more

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Task-shifting to improve asthma education for Malawian children: a qualitative analysis

Nkhalamba, L.; Rylance, S.; Muula, S. A. et al. Human Resources for Health (2021) CC

Background Asthma education, a key component of long-term asthma management, is challenging in resource-limited settings with shortages of clinical staff. Task-shifting educational roles to lay (non-clinical) staff is a potential solution. We conducted a randomised controlled trial of an enhanced a... more

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TOWARDS A DISABILITY INCLUSIVE EDUCATION

Sæbønes, A., Bieler, R. B., Baboo, N., et al Norwegian Ministry of Foreign Affairs (2015) C2

Background paper for the Oslo Summit on Education for Development

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Social Costs of the COVID-19 Pandemic

P. Pereznieto; I. Oehler The Independent Panel (2021) CC

Background paper 9 The Independent Panel for Pandemic Preparedness and Response May 2021

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Catholic Social Training on Migration

Rowlands, A. Durham University (2018) C2

a) the background to the development of the Church social teaching on migration b) some of the additional resources that lie within the wider social tradition that might help us think theologically about migration in the current context c) brief concluding note on Islam, migration and dialogue.

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Delivery of cardiology services in Africa during the COVID-19 pandemic: what should we expect after this pandemic?

Nganou-Gnindjio, C.N.; Temgoua, M.N.; Kuate, L.M. et al. (2021) CC

Background: COVID-19 is a global public health crisis that affects all sectors; studying the impact of this pandemic on the delivery of cardiology services in Africa is crucial as COVID-19-related cardiovascular complications may worsen the CVD burden in this already highly affected and resource-lim... more

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Centering communities in pandemic preparedness and response

The Independent Panel (2021) CC

Background paper 10 The Independent Panel for Pandemic Preparedness and Response May 2021

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Towards disability - inclusive education

Saeboenes, A.-M.; et al. Expert Group on Disability (2015) CC

Background paper for the Oslo Summit on Education for Development. This paper covers the four topics of the Oslo Summit: investment in education, quality of learning, education in emergencies and girls’ education. Disability continues to be one of the primary causes of educational disadvantage a... more

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Hospital nurse staffing and patient outcomes in Chile: a multilevel cross-sectional study

Aiken L., Simonetti M., Sloane D., et al. (2021) CC

Background Unrest in Chile over inequalities has underscored the need to improve public hospitals. Nursing has been overlooked as a solution to quality and access concerns, and nurse staffing is poor by international standards. Using Chile’s new diagnosis-related groups system and surveys of nurse... more

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Assessing post-traumatic stress disorder in South African adolescents: using the child and adolescent trauma survey (CATS) as a screening tool

Suliman, S., Kaminer, D., Seedat, S. & Steinm D.J. Annals of General Psychiatry (2005) CC

Background: Several studies have demonstrated that South African children and adolescents are exposed to high levels of violent trauma with a significant proportion developing PTSD, however, limited resources make it difficult to accurately identify traumatized children. Conclusions: Our result... more

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Traumatic stress and psychological functioning in a South African adolescent community sample

Swain, K.D., Pillay, B.J. & Kliewer, W. South African Journal of Psychiatry (2017) CC

Background: Traumatic stress may arise from various incidents often leading to posttraumatic stress disorder (PTSD). The lifetime prevalence of PTSD is estimated at 1% – 2% in Western Europe, 6% – 9% in North America and at just over 10% in countries exposed to long-term violence. In South Afri... more

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Climate change and Disaster Management

World Bank (2017) C1

- Pacific Possible Background Paper No.6

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Patient Safety Incident Reporting and Learning Systems - Technical report and guidance

World Health Organization WHO (2020) C_WHO

Against this background of nearly 20 years of experience of research, development and improvement in patient safety, the role of incident and adverse event reporting, as well as the benefits that derive from it, is still a work in progress.This document has two main purposes: • to provide an up... more

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Defining competent maternal and newborn health professionals

World Health Organization WHO; UNFPA; UNICEF; et al. (2018) C_WHO

Background document to the 2018 joint statement by WHO, UNFPA, UNICEF, ICM, ICN, FIGO and IPA: definition of skilled health personnel providing care during childbirth

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The Impact of Climate Change on Mental Health: A Systematic Descriptive Review

Cianconi, P.; Betrò, S.; Janiri, L. (2020) CC

BackgroundClimate change is one of the great challenges of our time. The consequences of climate change on exposed biological subjects, as well as on vulnerable societies, are a concern for the entire scientific community. Rising temperatures, heat waves, floods, tornadoes, hurricanes, droughts, fir... more

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Understanding Peace Require-ments in Yemen: Needs and Roles for Civil Society, Women, Youth, the Media and the Private Sector

Mareike Transfeld & Marie-Christine Heinze GIZ (2019) CC

This report serves as a background paper to five short studies Yemeni-international researcher tandems will jointly develop in the course of 2019. It places a particular focus on ‘peace requirements’, a term that seeks to draw attention to the manifold challenges to establishing stab... more

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A Guide to Leadership Training in Community Mental Health

The Kitchener Downtown Community Health Centre, et al. (2010) CC

For Strengthening Mental Health In Cultural-Linguistic Communities Projects

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The African report on children with disabilities: promising starts and persisting

by Mark Nunn, Annalies Borrel, Allison deFranco et al. The African Child Policy Forum (ACPF) (2014) CC

This pan-African report describes and analyses the cultural, social, physical and other societal barriers preventing children with disabilities in Africa from realising their full human potential. It also describes the opportunities, initiatives and good practices that exist, that indicate the progr... more