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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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Addressing accountability in NGO advocacy - Practice, principles and prospects of self-regulation

M. Hammer; C. Rooney; S. Warren One World Trust (2010) C2

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Kenya Quality Model for Health

Ministry of Health, Kenya (2015) C2

Quality Standards for community health services Level 1

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Operational Guidelines on Community Care Centres

National AIDSControl (NACO), Government of India; Ministry of Health and Family Welfare (2007) C1

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Integrating mental health into South Africa’s health system: current status and way forward

Schneider, M.; E. Baron, E. Breuer, et al. (2016) CC

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Toolkit for assessing health system capacity to manage large influxes of refugees, asylum-seekers and migrants

World Health Organization (WHO); Regional Office for Europe UNHCR; IOM (2016) C_WHO

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Prevalence of Physical Disability among Urban Community-dwelling Adults in Sri Lanka

Weerasinghe, I.F., Foneska, P., Dharmaratne, S.D., & Jayatilake, J.A.M.S. Disability, CBR & Inclusive Development Journal (DCIDJ) (2015)

Assessment of physical disability at the community level is essential for rehabilitation and supply of services. This study aimed to assess the prevalence of physical disability among adults in an urban community in Sri Lanka.

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A gender analysis of the right to a nationality in Myanmar

Norwegian Refugee Council (NRC), UN Refugee Agency (UNHCR), UN Women et al. (2018) C1

According to 2014 Census data, almost a third of the population in Myanmar do not have adequate identity and civil documentation. Of these, 54 percent are women.
Women who live in remote or conflict affected areas, who are displaced or belong to stateless ethnic and religious minorities face the... more

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Healing minds, changing lives : a movement for community-based mental health care in Peru – delivery innovations in a low-income community, 2013-2016

World Bank (2018) CC

This report explores community-focused change initiatives in the financing, organization, and delivery of mental health services in Peru from 2013 to 2016. It examines the national dimension of reforms but focuses above all on implementation and results in the economically fragile district of Caraba... more

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Caring for those who care. Guide for the development and implementation of occupational health and safety programmes for health workers

World Health Organization WHO; ILO (2022) C_WHO

Occupational health and safety programmes aim to prevent diseases and injuries arising out of, linked with or occurring in the course of work, while improving the quality and safety of care, safeguarding the health workforce and promoting environmental sustainability in the health sector. This gu... more

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Best Practices and Experience of Mauritius Preparedness and Response to COVID-19 Pandemic

World Health Organization WHO; Regional Office for Africa, Government of Mauritius (2021) C_WHO

his Inter Action Review report for the COVID-19 outbreak in Mauritius documents and assesses the country’s capacity to respond to the outbreak and identifies the best practices, strengths, gaps and challenges of the national response. Areas requiring improvements or sustained actions have been ide... more

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WHO guidance: Public health response to biological and chemical weapons

World Health Organization (2004) C_WHO

The message contained in this publication is clear: countries need a public health system that can respond to the deliberate release of chemical and biological agents. Regrettable though this message may be, the use of poison gas in the war between Iraq and the Islamic Republic of Iran in the 19... more

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Measuring Distance to the SDG Targets 2019: An Assessment of Where OECD Countries Stand

OECD (2019) C1

With eleven years left to achieve the ambitious goals of the 2030 Agenda, how close are OECD countries to reaching the SDGs? And how is our understanding constrained by targets and indicators that still cannot be measured? The OECD Measuring Distance to the SDG Targets Study aims to help member coun... more

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A comparative analysis of national HIV policies in six African countries with generalized epidemics

K. Church; F. Kiweewa, A.Dasgupta; et al. Bull World Health Organ; PMC (US National Library of Medicine National Institutes of Health) (2015) C2

Bull World Health Organ 2015;93:457–467 | doi: http://dx.doi.org/10.2471/BLT.14.147215

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COVID-19 Impact: The seeds of a future hunger pandemic?

Action against hunger (2020) C1

Previous pandemics have demonstrated that more people could die from the indirect consequences of an outbreak than from the disease itself. As the fight against the pandemic is pushing millions into poverty and hunger, COVID-19 will likely be no different.

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Nutritional interventions update: multiple micronutrient supplements during pregnancy

World Health Organization WHO (2020) C_WHO

The World Health Organization’s comprehensive antenatal care (ANC) guideline WHO recommendations on antenatal care for a positive pregnancy experience was published in 2016 with the objective of improving the quality of routine health care that all women and adolescent girls receive during pregnan... more

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Maternal and fetal assessment update: imaging ultrasound before 24 weeks of pregnancy
recommended

World Health Organization WHO (2022) C_WHO

This recommendation is an update of one of the 49 recommendations that were published in the WHO recommendations on antenatal care for a positive pregnancy experience. The recommendation was developed initially using the standardized operating procedures described in the WHO handbook for guideline d... more

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Adjusting health financing for people fleeing conflict: policy guidance for countries in Europe

World Health Organization WHO, Regional Office of Europe (2022) C_WHO

This policy paper outlines key health financing policy actions for countries to ensure universal access to health services and financial protection for people fleeing conflict. It focuses on three policy areas – granting entitlement and ensure access to the full range of needed health services for... more

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Guideline on when to start Antiretroviral Therapy and on Pre-Exposure Prophylaxis for HIV

Elaine Abrams, Tsitsi Apollo, Janet Bhila et al. World Health Organization WHO (2015) C_WHO

The new WHO guidelines recommend that people living with HIV be started on antiretrovirals (ARVs) as soon as possible after being diagnosed. Currently, many people living with the virus globally must wait until their CD4 counts fall to 500 to start treatment. According to the WHO, the move to early ... more

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Kenya National Pharmaceutcal Policy: 2008

Dr F Siyoi, Dr C Forshaw, Dr J Mbuva ,Dr M Thuo, Dr N Mucheru, Dr E Ominde-Ogaja, Dr R Mbindyo, Mrs R Kirika Minister for Medical Services (2008) C1

Maternal and fetal assessment update: imaging ultrasound before 24 weeks of pregnancy recommended

Maternal and fetal assessment update: imaging ultrasound before 24 weeks of pregnancy
recommended