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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 Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review.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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Assessment of the Implementation of the Treat-all Guidelines (Test and Start) in Namibia

Population Council (2017) C2

Activity brief | Research Partners: Population Council, IntraHealth International, Avenir Health, Survey Warehouse, Ministry of Health and Social Services, and USAID/Namibia | Location: Andara, Nyangana, Oshikuku, Onandjokwe, and Tsumeb districts, Namibia | Study Duration: April 2017–September 201... more

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Permagarden Technical Manual

USAID; TOPS; Mercy Corps (2017) CC

2nd edition. This Permagarden Technical Manual is a resource for agriculture project staff implementing home garden projects with farmers. The manual explains how the permagarden method addresses soil health, water management and crop protection to create a year-round productive home garden. It incl... more

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Essentials of Pharmaceutical Practice - UNIT 29 - Standard Operating Procedures
recommended

Ecumenical Pharmaceutical Network (EPN) (2015) C2

Extract from "Essentials of Pharmaceutical Practice - EPP Handbook" by Ecumenical Pharmaceutical Network (EPN) (ISBN 978-9966-094-44-5). Chapter contents: Definition and understanding about SOPs - Importance of SOPs - Role of SOPs in ensuring quality of services in the pharmacy - Developing SOPs fo... more

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The Critical Role of the Staff Nurse in Antimicrobial Stewardship—Unrecognized, but Already There

Olans R. N. , R. D. Olans, A. DeMaria Jr Clinical Infectious Diseases (2016) C2

An essential participant in antimicrobial stewardship who has been unrecognized and underutilized is the“staff nurse.”Although the role of staff nurses has not formally been recognized in guidelines for implementing and operating antimicrobial stewardship programs (ASPs) or defined in the medica... more

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Secuenciación del genoma del SARS-CoV-2 con fines de salud pública: orientaciones provisionales, 8 de enero de 2021

Organización Mundial de la Salud OMS (2021) C_WHO

The growing understanding of how sequence information can contribute to improved public health is driving global investments in sequencing facilities and programmes. The falling cost and complexity of generating GSD provides opportunities for expanding sequencing capacity; however, challenges to wid... more

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CONSENSUS DOCUMENT FOR MANAGEMENT OF GALLBLADDER CANCER

Indian Council of Medical Research (ICMR) (2014) C1

Prepared as an outcome of ICMR Subcommittee on Gastric Cancer | This consensus document on Management of Gallbladder cancers summarizes the modalities of treatment including the site-specific anti-cancer therapies, supportive and palliative care and molecular markers and research questions. It also ... more

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Standard Operating procedures for Immunophenotyping of Hematolymphoid Neoplasms

Indian Council of Medical Research (ICMR) (2016) C1

Prepared as an outcome of ICMR Expert Group on Immunophenotyping of Hematolymphoid Neoplasms | Coordinated by Division of Non Communicable Diseases | This document addresses on various issue related to good quality practices in laboratory work up of flow cytometric immunophenotyping and will be of u... more

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Tuberculosis. Practical guide for clinicians, nurses, laboratory technicians and medical auxiliaries

Médecins sans Frontières MSF (2022) C2

This Tuberculosis guide has been developed jointly by Médecins Sans Frontières and Partners In Health. It aims at providing useful information to the clinicians and health staff for the comprehensive management of tuberculosis. Forms of susceptible and resistant tuberculosis, tuberculosis in child... more

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Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review

Mphahlele, R.E.; Kitchin, O.; Masekela, R. BMJ Open (2021) CC

The article "Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review" analyzes factors contributing to poor asthma control in African youth. Based on studies conducted between 2014 and 2019 in Nigeria, Uganda, and South Africa, the review identifies key... more

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Consultation with Children in East Africa for the World Humanitarian Summit - Messages from Children Affected by Emergencies

Save the Children (2015) CC

Children expressed the need for organisations to support in the delivery of services such as health and sanitation. The children also emphasized that schools and the child-friendly spaces (CFSs) were effective and important spaces to provide them with what they need.

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Oxfam Water Storage Manual

Oxfam (2006) C1

This manual is part of a series of guides devised by the Oxfam Public Health Engineering Team to help provide a reliable water supply for populations affected by conflict or natural disaster. Storage tanks are required for collection of water from springs or water produced from continuous flow water... more

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National Essential Medicines List - Tertiary/Quaternary Medication Review Process

Republic of South Africa (2017) CC

Long Acting Muscarinic Antagonists (LAMA) such as tiotropium and glycopyrronium are used in the management of COPD1. They have been shown to improve lung function, quality of life and exercise tolerance. They have also been associated with reduced COPD-related exacerbations, associated hospitalisati... more

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Extension of the national emergency action plan for polio eradication 2018/2019 (Pakistan)

End Polio Pakistan (2019) C1

Despite Pakistan's progress in reducing the number of wild poliovirus type 1 (WPV1) cases to 8 in 2017 and 12 in 2018, 2019 has seen a significant rise in the number of WPV1 cases (41 cases as of July 8 2019). One of the most intractable challenges the Pakistan Polio Eradication Initiative (PEI) is ... more

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My future its my choice

UNICEF; Namibian Ministry of Basic Education; Culture and the Namibian Ministry of Youth and Sports; United Nations Children Fund (UNICEF-Namibia); University of Maryland School of Medicine; et al. (1999)

Extra Curricular Life Skills Training Manual For Adolescents 13 to 18 Years of Age “Protecting Our Peers From HIV Infection” The Youth Health and Development Programme Government of the Republic of Namibia and UNICEF Programme of Cooperation 1997-2001 November 1999

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HIV drug resistance patterns in pregnant women using next generation sequence in Mozambique

Rupérez et al. (2018) CC

This study aimed to understand the patterns of HIV drug resistance in pregnant women in Mozambique. This might help in tailoring optimal regimens for prevention of mother to child transmission of HIV (pMTCT) and antenatal care.

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Guidelines for the use of antimicrobials in the South African pig industry

Pig Veterinary Society of the South African Veterinary Association (2016) C2

Antimicrobial resistance(AMR) poses a serious threat to human, animal and environmental health. Implementing ethical practice guidelines on how to use antimicrobials effectively and responsibly within the pig industry will contribute in reducing and preventing antimicro... more

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Évaluations harmonisées des capacités des services de santé dans le cadre de la pandémie de COVID-19

Organisation Mondiale de la Santé OMS (2020) C_WHO

Orientations provisoires 2 novembre 2020 Ces orientations provisoires sont une mise à jour de la version précédente publiée le 31 mai 2020, en anglais, sous le titre « Harmonized modules for health facility assessment modules in the context of the COVID-19 pandemic: interi... more

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Water safety plan manual: step-by-step risk management for drinking-water suppliers, 2nd ed

World Health Organisation (WHO) (2023) C_WHO

Safe drinking-water management must consider drinking-water quality, acceptability and quantity in the context of public health protection. In this manual, the term “safety” encompasses these three elements. Although the principles in this manual can be broadly applied to all types of drinking-w... more

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Preventing and responding to gender-based violence in humanitarian crises

Rebecca Holmes; Dharini Bhuvanendra Humanitarian Practice Network at ODI (2014) C3

The aim of this paper is to map and critically analyse evidence of good practice in prevention and response to gender-based violence (GBV) in humanitarian contexts which can support humanitarian practitioners and policy makers to improve the quality of GBV programming in the field. The paper is stru... more

Essentials of Pharmaceutical Practice - UNIT 29 - Standard Operating Procedures recommended

Essentials of Pharmaceutical Practice - UNIT 29 - Standard Operating Procedures
recommended