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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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Considerations to integrate climate change mitigation and adaptation into health care system strengthening

USAID (2022) CC

Addressing gaps and improving health system performance is simply not enough to prepare a health system to tackle the effects of the climate crisis. Climate change’s impact on the health and well-being of people globally is reaching catastrophic levels. As the earth continues to warm, tens of mill... more

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Technical update on treatment optimization: use of efavirenz during pregnancy: a public health perspective

World Health Organization (2012) C_WHO

1.HIV infections – drug therapy. 2.Anti-HIV agents – adverse effects. 3.Anti-retroviral agents. 4.Benzoxazines – adverse effects. 5.Pregnancy. 6.Disease transmission, Vertical - prevention and control. 7.Treatment outcome. I.World Health Organization

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Core standards for survivor-centered support of sexual exploitation, abuse, and harassment

InterAction (2023) CC

One of the 16 Pledge commitments asked CEOs to “[r]ecognize the immediate and long-term effects sexual abuse, exploitation, and harassment have on [NGO] staff and the people [they] serve, and [to] … ensure [their] organizations have robust policies and funded mechanisms to provide the necessary ... more

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Contaminación atmosférica y salud infantil: prescribir aire limpio: resumen

World Health Organisation (WHO) (2018) C_WHO

This report summarizes the latest scientific knowledge on the links between exposure to air pollution and adverse health effects in children. It is intended to inform and motivate individual and collective action by health care professionals to prevent damage to children’s health from exposure to ... more

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Ukraine Conflict: Impact on food security - Issue Brief

Berger, N.; The MEDBOX Team (2023) CC

The war has not only triggered the largest movement of refugees in Europe since the end of the Second World War. Its manifold effects can be seen worldwide: forexample, consumer prices have risen and, in view of blocked grain exports of wheat, barley, and maize, food security in Africa is at risk. ... more

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Stimulants – Methamphetamine

UCLA Brain Research Institute (2021) CC

The pamphlet "Methamphetamine" provides information about methamphetamine, an illegal stimulant with high abuse potential, though it has limited medical uses for conditions like ADHD and narcolepsy. It explains short-term effects such as appetite suppression, increased heart rate and blood pressure,... more

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Using Performance Incentives to Improve Health Outcomes

Gertler, P. & Vermeersch, C. The World Bank (2012) C2

Policy Research Working Paper 6100 | Impact Evaluation Series No. 60 | This study examines the effect of performance incentives for health care providers to provide more and higher quality care in Rwanda on child health outcomes. The authors find that the incentives had a large and significant effec... more

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Air pollution and child health: prescribing clean air

World Health Organization (2018) C_WHO

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Modelling COVID-19 Risk in Kenya To Enhance Humanitarian Response

Kenya Red Cross (2021) C1

This study looked at structural risk factors to COVID-19 that existed before the outbreak and may have direct and indirect effects on COVID-19 risk across all the 47 counties in Kenya. These factors are COVID-19 exposure and vulnerability and lack of adaptive capacity to COVID-19.

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Helping young children who have experienced trauma: policies and strategies for early care and education

Jessica Dym Bartlett, Sheila Smith, Elizabeth Bringewatt Child Trends (2017) C1

In this report, we describe early childhood trauma and its effects, offer promising strategies for ECE programs and systems to help young children who have experienced trauma, and present recommendations for state policymakers and other stakeholders looking to support trauma-informed ECE for this vu... more

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UK official development assistance cut threatens global mental health

Kola L.; Luitel N. The Lancet (2021) CC

Evidenced-based multidisciplinary collaborative strategies are required to improve global mental health and avert possible catastrophic effects of the COVID-19 pandemic through the effects of economic recessions and social disruptions on already fragile populations with little or no social protectio... more

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Pollution de l'air et santé de l'enfant : prescrire un air sain : résumé

World Health Organisation (WHO) (2018) C_WHO

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Guidelines on Chemical Management in Health Care Facilities

Ministry of Health Malaysia (2010) C1

Specific Objectives • To increase the knowledge and awareness of personnel on chemical management. • To educate the personnel on the potential adverse health effects of chemical exposure. • To educate the personnel on the existing laws pertaining to handling of hazardous chemicals. • To... more

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Climate-induced migration and health issues - A toolkit for policymakers

International Institute for Environment and Developmend (IIED) OCHA Services Reliefweb (2022) C2

Loss and damage is an urgent concern, driven by the increasingly harmful effects of climate change. Communities are experiencing new types and forms of climate impact, of higher frequency and intensity, which they are not equipped to handle. These impacts compel vulnerable communities to migrate to ... more

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Resources to Support Mental Health and Coping with the Coronavirus (COVID-19)

Suicide Prevention Resource Center (2020) C1

The Suicide Prevention Resource Center (SPRC) has compiled a selection of web pages and information sheets on mental health and coping with the effects of COVID-19. These resources are a selection from key organizations in the field. We will continue to update this list as new resources become ava... more

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Gender differences in the epidemiology of affective disorders and schizophrenia

Maco Piccinelli and Francesca Gomez Homen WHO (2000) C_WHO

This document seeks to enhance the attention of the people and governments of the world to the effects of mental health problems and substance abuse on the social well being and physical health of the world´s underserved population.

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Anti-interleukin-6 therapies for hospitalized patients with COVID-19: a protocol for a prospective meta-analysis of randomized trials

World Health Organization WHO (2021) C_WHO

19 February 2021 The overall objective of this prospective meta-analyses (PMA) is to estimate the effect of anti-IL-6 therapy compared with usual care in hospitalized patients with suspected or confirmed COVID-19. The primary comparison is of the class effect of anti-IL-6 therapies. It will also es... more

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2017 Global Nutrition Report. Nourishing the SDGs

Global Nutrition Report Stakeholder Group (2017)

The 2017 Global Nutrition Report focuses on 5 key areas and finds that improving nutrition can have a powerful multiplier effect across the SDGs. Indeed, it indicates that it will be a challenge to achieve any SDG without addressing nutrition. The report shows that there is an exciting opportunity t... more

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2017 Global Nutrition Report. Nourishing the SDGs – Report summary

Global Nutrition Report Stakeholder Group (2017) C1