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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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Health systems context(s) for integrating mental health into primary health care in six Emerald countries: a situation analysis

Mugisha J.; Abdulmalik, J.; Hanlon C; et al. International Journal of Mental Health Systems; BioMed Central (2017) C1

Mugisha et al. Int J Ment Health Syst (2017) 11:7 DOI 10.1186/s13033-016-0114-2

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Living Conditions among People with Activity Limitations in Zambia: A National Representative Study.

Arne H Eide & ME Loeb SINTEF Health Research (2006) C1

This research report provides results from the study on living conditions among people with disabilities in Zambia. Comparisons are made between individuals with and without disabilities and also between households with and without a disabled family member. Results obtained in Zambia are also compar... more

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Maximising the Nutritional Impact of Food Security and Livelihoods Interventions: A manual for field workers

Geraldine Le Cuziat, Geraldine; Mattinen, Hanna ACF International (2011) C1

This manual aims to provide practical guidance to field workers in order to maximise the nutritional impact of food security & livelihoods (FSL) interventions. This requires the systematic use of a ‘nutrition lens’ at each step of the project cycle and a close collaboration between sectors.

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Supporting the routine use of evidence during the policy-making process: a WHO checklist

World Health Organisation (WHO) (2023) C_WHO

This checklist is for any organization or person supporting the routine use of evidence in the process of policy-making. Evidence-informed policy-making (EIPM) is essential for achieving the Sustainable Development Goals (SDGs) and universal health coverage (UHC). Its importance is emphasized in WH... more

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Plan de mise en œuvre et cadre de suivi et d’évaluation du Cadre d’action européen de l’OMS visant à permettre aux personnes handicapées d’atteindre le meilleur état de santé possible 2022-2030

World Health Organisation (WHO) (2023) C_WHO

Le « Cadre d’action européen de l’OMS visant à permettre aux personnes handicapées d’atteindre le meilleur état de santé possible 2022-2030 » proposé a été élaboré en concertation avec les États membres de la Région européenne de l’OMS et réaffirmé lors de multiples concerta... more

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United Nations Expert Group Meeting on Disability Data and Statistics, Monitoring and Evaluation: The Way Forward - a Disability - Inclusive Agenda Towards 2015 and Beyond

Secretariat to the Conventi on on the Rights of Persons with Disabilities Division for Social Policy and Development United Nations Department of Economic and Social Affairs (2014) CC

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National guidance and district-level practices in the supervision of community health workers in South Africa: a qualitative study

Assegaai, T. and H. Schneider Human Resources for Health (2019) C1

Supportive supervision is considered critical to community health worker programme performance, but there is relatively little understanding of how it can be sustainably done at scale. Supportive supervision is a holistic concept that encompasses three key functions: management (ensuring performance... more

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Fight for what counts. Investment Case

The Global Fund (2022) CC

Over the 20 years that followed, this unique partnership has invested more than US$53 billion, saving 44 million lives and reducing the combined death rate from the three diseases by more than half in the countries in which the Global Fund invests.

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Towards disability - inclusive education

Saeboenes, A.-M.; et al. Expert Group on Disability (2015) CC

Background paper for the Oslo Summit on Education for Development. This paper covers the four topics of the Oslo Summit: investment in education, quality of learning, education in emergencies and girls’ education. Disability continues to be one of the primary causes of educational disadvantage a... more

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Management and Prevention Strategies for Non-communicable Diseases (NCDs) and Their Risk Factors

Budreviciute, A.; Damiati, S.; Khdr Sabir, D. et al. (2020) CC

Non-communicable diseases (NCDs) are of increasing concern for society and national governments, as well as globally due to their high mortality rate. The main risk factors of NCDs can be classified into the categories of self-management, genetic factors, environmental factors, factors of medical co... more

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Declaration on Achieving Equality for Mental Health in the 21st Centuryeclaration on Achieving Equality for Mental Health in the 21st Century

Global Ministerial Summits on Mental Healt World Health Organization WHO (2018) C2

The Global Ministerial Mental Health Summit Conclusions

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Guidelines for Clinical and Operational Management of Drug-Resistant Tuberculosis

José A. Caminero International Union Against Tuberculosis and Lung Disease (The Union) (2013)

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Investment Case - Eighth Replenishment 2025

The Global Fund (2025) CC

To meet our Strategy objectives and get within reach of the 2030 SDG 3 target related to the three diseases, the Global Fund needs to raise US$18 billion for the Eighth Replenishment. That sum is essential to drive the required pace of progress in the fight against HIV, TB and malaria, and to m... more

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Knowing your status: then and now - Realizing the potential of HIV self-testing

Karin Hatzold; E. Corbett; H. Ingold; et al. Unitaid (Innovation in Global Health); World Health Organization (WHO); HIV Self-Testing Africa Initiative (2018) C2

30th World AIDS Day Report STAR Initiative, Unitaid and World Health Organization December 2018

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Key considerations: mental health and psychosocial support, North Kivu, DRC

Social Science in Humanitarian Action: A Communication for Development Platform (2018) C1

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Double Trouble: Injection Drug Use and Sexual Behaviour

Bhattacharya A, et al. India HIVAIDS Alliance; Hridaya Harm Reduction in India (2015) C1

Findings from a cross-sectional qualitative study of HIV vulnerabilities among People Who Inject Drugs and their sex partners in Bihar and Manipur, India. The study is one of the first qualitative comparative studies to seek an in-depth understanding of the vulnerabilities to HIV acquisition among P... more

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‘Virus Carriers’ and HIV testing: navigating Ukraine’s HIV policies and programming for female sex workers

A. Tokar; J. Osborne; K. Slobodianiuk; et al. BMC Public Health (BioMed Central); Health Research Policy and Systems (2019) CC

Tokar et al. Health Research Policy and Systems (2019) 17:23 https://doi.org/10.1186/s12961-019-0415-4

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National Strategy and Action Plan for Clubfoot Care in Bangladesh

Dr. A. M. Z. Hussain; Dr. Rizvi; Dr. Qavi; et al. Government of the People's Republic of Bangladesh DGHS Directorate General of Health Services Ministry of Health and Family Welfare ; Sustainable Clubfoot Care in Bangladesh (2015) C2

December 2015 National guidelines for of Clubfoot

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Context Analysis:Close-to- Community Health Care Service Providers in Bangladesh

M. SHOWKAT GANI, MAL ABIKA SARKER, BULBUL ASHRAF SIDDIQI, ILIA S MAHMUD,YAMIN TAUSEEF JAHANGIR, SA LLY THEOBALD, HERMEN ORM EL, SALAUDDIN BISWAS , KUHEL FAIZUL ISLAM, SUBORN A CAMELLIA, SABINA F AIZ RASHID Reachout Consortium (2014)