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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

UNAIDS Terminology Guidelines

UNAIDS (2024) CC

Language influences the way we think, how we perceive reality, and how we behave. With respect to HIV, language can embody stigma and discrimination, which impacts access to testing, acquisition of HIV, and engagement with treatment. Language plays a role in supporting respect and empowerment of ind ... more

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Gender, Climate Change and Health

World Health Organization (WHO) (2014) C_WHO

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National Health Statistic Report Cambodia

Department of Planning and Health Information, Ministry of Health Cambodia (2011) CC

Malawi National Health Indicators

Ministry of Health, Malawi; CENTRAL MONITORING A ND EVALUATION DIVISI ON (CMED) (2015) C1

Draft version

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Comorbidity of post-traumatic stress disorder and anxiety in flood survivors: Prevalence and shared risk factors

Dai, W., Kaminga, A.C., Tan, H., Wang, J., Lai, Z., Wu, X., Xiong, Y., Deng, J. & Liu, A. Medicine (2017) CC

Post-traumatic stress disorder (PTSD) and anxiety are both prevalent in trauma-related populations. However, comorbidity of these 2 psychiatric disorders has not been investigated in flood survivors. This study aimed to estimate the extent to which PTSD and anxiety co-occur in flood survivors, and i ... more

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WHO alcohol brief intervention training manual for primary care

World Health Organization (Europe) (2017) C_WHO

Alcohol contributes significantly to the disease and mortality burden in the WHO European Region, and primary health care systems play an important role in reducing the impact of harmful alcohol use. Screening and brief interventions (SBIs) for alcohol are an evidence-informed approach to addressing ... more

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Health Sector Strategic Plan II (2017-2022) Malawi

The Government of Malawi (2017) C1

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Young People and Alcohol. A resource book

Yvonne Bonomo, Cornelius Goos, John Howard et al. World Health Organization, Western Pacific Region (2015) C_WHO

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Field Booklet for Emergency Prepardness and Response in Namibia's Education Sector

United Nations Children's Fund (UNICEF) & United States Agency for International Development (USAID) (2015) C1

WHO Country Cooperation Strategy Nepal, 2013-2017

World Health Organisation (WHO) Country Office for Nepal (2013) C_WHO

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Zambia Steps for Non Communicable Risk Factors

Ministry of Health, Zambia Bloomberg Philanthropic; WHO, Path, et al. (2017) CC

Zambia Report for 2017

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International standards for the treatment of drug use disorders - Revised Edition Incorporating Results Of Field - Testing

World Health Organization WHO (2020) C_WHO

This document is based on currently available scientific evidence on treatment for drug use disorders and sets out a framework for the implementation of the Standards, in line with principles of public health care. The Standards identify major components and features of effective systems for the tre ... more

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Essential Guide to Humanitarian Good Practice, 5th ed.
recommended

All in Diary (AID) (2016) C2

A practical tool for field based humanitarian workers. It provides up-to-date, clear and succint guidance on topics accross the humanitarian sector including references to current, relevant resources and practical tools.

The Importance of Primary Eye Care

Clare Gilbert Community Eye Health (1998)

External Link

First Aid Training Syllabus

First Aid Africa (2011) C1

First Aid in armed conflicts and other situations of violence

International Committee of the Red Cross ICRC (2006)

A practical manual presenting the specific knowledge, skills and practices that First Aiders should have to act safely and effectively when caring for people caught up in armed conflicts and other situations of violence, such as internal disturbances and tensions.

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Joint position paper on the provision of mobility devices in less resourced settings

World Health Organization; USAID (2011) C_WHO

A step towards implementation of the Convention on the Rights of Persons with Disabilities (CRPD) related to personal mobility.

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Guidelines to Referral Health Care in Lebanon

UNHCR (2014)

The standard operating procedures (SOP) for referral care cover all the refugee populations living in Lebanon. These SOPs outline the policies and procedures for referral care in Lebanon, including the limits in health assistance that can be provided.

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Community-based rehabilitation: CBR guidelines - Introductory booklet
recommended

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, et al. World Health Organization WHO (2010) C_WHO

Available in: English, French, Chinese, Spanish, Russian, Arabic, Thai, Korean, Tajik, Vietnamese, Uzbek http://www.who.int/disabilities/cbr/guidelines/en/

Essential Guide to Humanitarian Good Practice, 5th ed. recommended

Community-based rehabilitation: CBR guidelines - Introductory booklet recommended

Essential Guide to Humanitarian Good Practice, 5th ed.
recommended

Community-based rehabilitation: CBR guidelines - Introductory booklet
recommended