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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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Changing food systems and infectious disease risks in low-income and middle-income countries

Waage, J.; D. Grace; E.M. Févre; et al. The Lancet Planetary Health (2022) CC

Lancet Planet Health 2022;6: e760–68 The emergence of COVID-19 has drawn the attention of health researchers sharply back to the role that food systems can play in generating human disease burden. But emerging pandemic threats are just one dimension of the complex relationship between agriculture... more

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Interim National Guidelines for Monkeypox Outbreak Response

Federal Ministry of Health - Nigeria Centre for Disease Contro (2017) C2

This document provides information and recommendations for action, based on the current available knowledge around monkeypox. It is a first draft which will be updated in light of evolving evidence and additional information as they become available.

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Checklist for assessing quality of healthcare - Hospitals

Kenya Ministry of Health (2021) C1

Kenya Quality Model for Health - Hospitals

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Revised National Tuberculosis Control Programme DOTS-Plus Guidelines

Central TB Division, Director ate General of Health Services, Ministry of Health & Family Welfare (2010) C1

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Migration in Malawi

International Organization for Migration IOM (2015) C2

A country Profile 2014

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Formation de l'OMS sur la prise en charge clinique des infections Respiratoires Aiguës Sévères (SARI)
recommended

Organisation Mondiale de la Santé OMS (2020) C1

Ce cours est à destination des cliniciens qui travaillent dans des unités de soins intensifs (ICU) dans les pays à faible et moyen revenu et la prise en charge des patients adultes et pédiatriques atteints de formes d'infection respiratoire aiguë sévère (SARI), notamment la pneumonie sévère... more

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Practical Guide for Medical Management of Chemical Warfare Casualties

Organisation for the Prohibition of Chemical Weapons (OPCW) (2016) C1

This Guide contains information, guidelines, diagrams and other materials addressed to medical practitioners who are engaged in the treatment of casualties of chemical weapons. It is made available to the public for information purposes, but is not intended to be used by the public. All decisions re... more

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Flexibly funding WHO? An analysis of its donors' voluntary contributions

Obichukwu I., Kennedy J., Harmer A. BMJ Global Health (2022) CC

Since the 1970s, voluntary contributions have become an increasingly important component of WHO's budget. As voluntary contributions tend to be earmarked for donor-specified programmes and projects, there are concerns that this trend has diverted focus away from WHO's strategic priorities, made coor... more

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A systematic examination of international funding flows for Ebola virus and Zika virus outbreaks 2014-2019: donors, recipients and funding purposes

Quirk, E.J.; A. Gheorghe; K. Hauck BMJ Global Health (2021) C1

There has been no systematic comparison of how the policy response to past infectious disease outbreaks and epidemics was funded. This study aims to collate and analyse funding for the Ebola epidemic and Zika outbreak between 2014 and 2019 in order to understand the shortcomings in funding reporting... more

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Recommandations aux États Membres pour améliorer les pratiques d’hygiène des mains par un accès universel à des postes publics d’hygiène des mains afin d’aider à prévenir la transmission du virus de l

Organisation Mondiale de la Santé (OMS) (2020) C_WHO

Orientations provisoires 1er avril 2020 Les États Membres doivent améliorer les pratiques d’hygiène des mains de manière ambitieuse afin d’aider à prévenir la transmission du virus de la COVID-19 : 1. en fournissant un accès universel à des postes publics d’hygiène des mains et ... more

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Nepal: National HIV/AIDS Srategy 2011‐ 2016

Government of Nepal Ministry of Health and Population, National Centre for AIDS and STD Control (2011) C1

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Use of COVID-19 evidence in humanitarian settings: the need for dynamic guidance adapted to changing humanitarian crisis contexts

Odlum, A.; R. James; A. Mahieu; et al. Conflict and Health (2021) CC

For humanitarian organisations to respond effectively to complex crises, they require access to up-to-date evidence-based guidance. The COVID-19 crisis has highlighted the importance of updating global guidance to context-specific and evolving needs in humanitarian settings. Our study aimed to under... more

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NTP Training Manual
recommended

Ghana Health Service; Ministry of Health, Ghana; Stop TB (2012) C1

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Serbia National Drug Report 2017

European Monitoring Centre for Drugs and Drug Addiction; Republic of Serbia Ministry of Health (2017) C2

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National surgical, obstetric and anesthesia plan (NSOPA) 2018-2025

Ministry Of Health Community, Development,Gender, Elderly And Children, the United Republic of Tanzania (2018) CC

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Swaziland national comprehensive HIV package of care

Kingdom of Swaziland Ministry of Health (2010) C1

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Myanmar Country Strategic Plan (2018–2022)

World Food Programme (WFP) (2017) C1

The Republic of the Union of Myanmar is at a historic moment, with a new civilian government assuming power in 2016. The country graduated to lower-middle-income status in 2015, and has made significant progress in reducing poverty, improving food security and addressing malnutrition.
The remai... more