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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

COP26 Special Report on Climate Change and Health

World Health Organization WHO (2021) C_WHO

The 10 recommendations in the COP26 Special Report on Climate Change and Health propose a set of priority actions from the global health community to governments and policy makers, calling on them to act with urgency on the current climate and health crises. The recommendations were developed in ... 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

External Link

Integrated Disease Surveillance and Response - District Level Training Course - Facilitator Guide

World Health Organization; Regional Office for Africa (2011)

The Facilitator's Guide provides instruction and suggestions for teaching the training modules for the Technical Guidelines for Integrated Disease Surveillance and Response in the Africa Region, 2nd edition. This training is intended for district level health officers who conduct IDSR activities. Th... more

Health Information System Strategic Plan 2008-2015 , accountability, efficiency, quality, equity

Ministry of Health, Cambodia (2008) CC

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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

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Revitalizing Primary Health Care Country Experience: Nepal

Ministry of Health, Government of Nepal (2014) C1

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WHO Bangladesh Country Cooperation Strategy: 2020–2024

World Health Organization (WHO), Regional Office for South-East Asia (2022) C_WHO

Notable progress has also been made on other key health indicators such as reducing maternal, infant and child deaths and malnutrition, increasing immunization coverage, eliminating infectious diseases such as polio and reducing the incidence of malaria, tuberculosis and diarrhoeal diseases. But ... more

WHO Country Cooperation Strategy Nepal, 2013-2017

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

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National Health Policy

Ministry of Health, Republic of Botswana (2011) C2

Towards a Healthier Botswana

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Annual Health Sector Performance Report 2016/2017

Ministry of Health Uganda (2017) C1

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The Republic of the Union of Myanmar health system review

Phone Myint; Than Tun Sein; Nilar Tin et al. World Health Organization (WHO) (2014) C_WHO

(Health Systems in Transition, Vol. 4, No. 3, 2014)

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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.

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

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