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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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Integrated Care for Older People (ICOPE) - A manual for primary care physicans - Trainee´s handbook

World Health Organization WHO (2020) C_WHO

The manual has been designed in a comprehensive manner, the aim being to provide a holistic approach to the short-term development of human resources, with a focus on primary care physicians. This is a reference manual meant for primary care physicians who will provide care to older people in primar... more

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COVID-19 Recommended Interventions in Mental Health and Psychosocial Support (MHPSS) during the Pandemic
recommended

Pan American Health Organisation PAHO (2020) C_WHO

This document describes the essential interventions in mental health and psychosocial support (MHPSS) that should be developed on an intersectoral basis in countries and communities. Its frame of reference is the Inter-Agency Standing Committee (IASC) intervention pyramid for MHPSS services. The pyr... more

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UNRWA COVID-19 Appeal, August-December 2020

UN Relief and Works Agency for Palestine Refugees in the Near East UNRWA (2020) CC

COVID-19 has resulted in an unprecedented global crisis. As the pandemic spreads and countries around the world continue to struggle to contain its health and socio-economic consequences, UNRWA is issuing a new humanitarian appeal from August through December 2020 to address the worst impacts of the... more

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IASC Guidance: Operational considerations for Multisectoral Mental Health and Psychosocial Support Programmes during the COVID-19 Pandemic
recommended

Inter-Agency Standing Comittee IASC; et al. (2020) C2

In March 2020 the IASC Reference Group on Mental Health and Psychosocial Support uniting 57 humanitarian organizations as member issued the Interim Briefing Note Addressing Mental Health and Psychosocial Aspects of COVID-19 Outbreak. This document has proven to be very useful in the response and has... more

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UNICEF Myanmar Humanitarian Situation Report No. 12: January-December 2022

UNICEF (2023) C_UNICEF

Myanmar continues to experience a severe - and worsening - humanitarian and human rights crisis. Conflict and violence have escalated across the country, impacting children and their families and displacing more than 1.5 million people. Access of conflict-affected populations to services and deliver... more

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Ukraine Situation: UNHCR Revised Supplementary Appeal 2022

United Nations High Commissioner for Refugees UNHCR (2022) CC

Given that the emergency has exceeded the worst-case scenario, this revised supplementary appeal for the Ukraine situation outlines UNHCR’s additional requirements of $1.246 billion for March to December 2022.

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Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS
recommended

Universtität Innsbruck; AmC; Univ. Zagreb; Danish Red Cross; et al. OPSIC (2016) C2

In the following you can find 51 Planning tools for Mental Health and Psychosocial support in disasters, that have been derived from an anylsis of 282 Psychosocial Mental Health guidelines and 678 Tools. The single planning tools are structured according to the most relevant topics and can be used i... more

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CARE Rapid Gender Analysis. Latin America & Caribbean: Venezuelan Migrants & Refugees in Colombia

Anushka Kalyanpur CARE (2019) CC

This Rapid Gender Analysis provides preliminary information and observations on the different needs, capacities and coping strategies of Venezuelan migrant and refugee women, men, boys, and girls in Colombia. It seeks to understand how gender roles and relations have changed as a result of the crisi... more

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Conflict Sensitivity & Public Health Emergencies: Practical Programming Adaptation During COVID-19 and Beyond

CDA Collaborative Learning Projects (2020) C1

Conflict, in its active or latent forms, is everywhere. The COVID-19 pandemic has demonstrated that public health emergencies can strike any country at any time. Given the universality of and interconnections between conflict, humanitarian crises, and public health emergencies, practitioners trained... more

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Climate change and health: vulnerability and adaptation assessment (Update)

World Health Organization WHO; PAHO; et al. (2021) C_WHO

In 2013 the World Health Organization (WHO) published the report Protecting health from climate change:vulnerability and adaptation assessment. The aim was to provide basic and flexible guidance on conducting national or subnational assessments of current and future vulnerability (the susceptibilit... more

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WHO Emergency Response Framework - Internal WHO procedures - Second Edition

World Health Organization WHO (2024) C_WHO

The ERF provides WHO staff with essential guidance on how the Organization manages the assessment, grading and response to public health events and emergencies with health consequences, in support of Member States and affected communities. The ERF adopts an all-hazards approach and it is therefore a... more

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Climate change and health: vulnerability and adaptation assessment

World Health Organisation (WHO) (2021) C_WHO

Climate change and health vulnerability and adaptation assessment In 2013 the World Health Organization (WHO) published the report Protecting health from climate change: vulnerability and adaptation assessment. The aim was to provide basic and flexible guidance on conducting national or subnati... more

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Earthquake Haiti: Guidelines and Resources
recommended

Mauder, S. MEDBOX (2021) CC

25 August 2021. The earthquake on August 14, 2021 was almost as strong as the severe quake in 2010, which killed about 300,000 people. The current number of victims is more than 2,200 people, and more than 12,000 people have been injured. More than 52,000 houses were destroyed and more than 77,000 ... more

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Water, sanitation and hygiene in health care facilities: status in low and middle income countries and way forward.

Maria Neira, Edward Kelley, Mickey Chopra et al. World Health Organization, UNICEF (2015)

This report presents, for the first time, a global assessment of the extent to which health care facilities provide essential water, sanitation and hygiene (WASH) services. Drawing on data from 54 low- and middle-income countries, the report concludes that 38% lack access to even rudimentary levels ... more

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Fleeing Ukraine: Displaced people’s experiences in the EU

European Union Agency for Fundamental Rights (2023) C1

The European Union Agency for Fundamental Rights (FRA) collected evidence through field missions and from other sources reporting on the situation in March, May and October 2022. In parallel, it launched a large-scale online survey of those fleeing Ukraine. This aimed to gather personal experiences... more

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Disaster Risk Management Strategy: Towards Resilient Communities

Agency for Technical Cooperation and Development (ACTED) (2013)

Between 1992 and 2012, disasters caused more than 1.3 million deaths, affected more than 4.4 billion people and led to US$ 2 trillion in economic damages and losses around the world. This Disaster Risk Management Strategy explains how the Agency for Technical Cooperation and Development (ACTED) anti... more

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Integrating neglected tropical diseases into global health and development: fourth WHO report on neglected tropical diseases

World Health Organization WHO (2017) C_WHO

This fourth WHO report on neglected tropical diseases (NTDs) reviews the progress made towards achieving the Roadmap targets for 2020, noting the remaining challenges, then looks beyond 2020 to evaluate the changing global health and development landscape, considering the implications of integrating... more

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Mental Health and Psychosocial Response during COVID-19 Outbreak, June 2020

UN High Commissioner for Refugees UNHCR (2020) C1

Key highlights from January to April 2020 (Syria situation) Across the MENA region, UNHCR is receiving alarming reports of increasing mental health issues among the forcibly displaced. Mental health and psychosocial support (MHPSS) activities are being stepped up by UNHCR and partners to address th... more

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Birth defects surveillance training: facilitator’s guide, second edition

World Health Organisation (WHO) (2024) C_WHO

This Birth Defect Surveillance facilitator (train-the-trainer) guide 2nd edition covers foundational skills needed to begin the development, implementation and ongoing improvement of a congenital anomaly surveillance programme, whether population-based or hospital-based, in particular for countries ... more

COVID-19 Recommended Interventions in Mental Health and Psychosocial Support (MHPSS) during the Pandemic recommended

IASC Guidance: Operational considerations for Multisectoral Mental Health and Psychosocial Support Programmes during the COVID-19 Pandemic recommended

Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS recommended

Earthquake Haiti: Guidelines and Resources recommended

COVID-19 Recommended Interventions in Mental Health and Psychosocial Support (MHPSS) during the Pandemic
recommended

IASC Guidance: Operational considerations for Multisectoral Mental Health and Psychosocial Support Programmes during the COVID-19 Pandemic
recommended

Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS
recommended

Earthquake Haiti: Guidelines and Resources
recommended