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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

Health Cluster Guide

World Health Organization, IASC (2020) CC

A practical handbook. This Health Cluster Guide (2nd edition, 2020) provides practical advice on how WHO, Health Cluster Coordinators and partners can work together during a humanitarian crisis to achieve the aims of reducing avoidable mortality, morbidity and disability, and restoring the delivery ... more

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Neonatal Tetanus Elimination Field Guide

Pan American Health Organisation PAHO (2005) C_WHO

In many countries neonatal tetanus is responsible for half of all neonatal deaths due to vaccine-preventable diseases and for almost 14% of al¡ infant deaths. It is estimated that in the 1970s more than 10,000 newborns died annually from neonatal tetanus in the Americas. Neonatal tetanus is prevent... more

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Immunization Essentials a practical Field Guide

USAID USAID (2004) CC

This guide provides a comprehensive overview of essential information related to immunization, including technical information about vaccines, a review of immunization program management best practices, guidance on the delivery of immunization services, monitoring and evaluation, disease surveillanc... more

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Water Safety Planning for Small Community Water Supplies

World Health Organization WHO (2012) C_WHO

Step-by-step risk management guidance for drinking-water supplies in small communities.

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Water, Sanitation and Hygiene Standards for Schools in Low-cost Settings
recommended

World Health Organization WHO (2009) C2

These guidelines deal specifically with water, sanitation and hygiene, and are designed to be used in schools in low-cost settings in low- and medium-resource countries to: • assess prevailing situations and plan for required improvements; • develop and reach essential safety standards as a f... more

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Managers Who Lead Handbook Improving Health Services

Management Sciences for Health (2008) C1

Managers Who Lead empowers health managers at all levels of an organization to lead teams to face challenges and achieve results. It answers questions such as: How can I lead and manage more effectively? How do I create a shared vision and a clear path for achieving it? What can I do to improve work... more

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The Humanitarian Emergency Settings Perceived Needs Scale (HESPER)

World Health Organization WHO (2011) C_WHO

Manual with Scale

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Communicable Diseases Control in Emergencies
recommended

Connolly, M.A. World Health Organization WHO (2005) C_WHO

A field manual

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Refugee Health
recommended

Médecins sans Frontières (1997) C3

An approach to emergency situations. Relief workers face rapidly changing and complex environments, new disease patterns, enormous humanitarian needs and relatively limited resources. The authors of this book use their experience in the area to produce an operational manual of the issues involved in... more

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The Camp Managment Toolkit
recommended

Birkeland,N.M.; G.L. Forselv, V. Vogel, et al. NRCThe Camp Management Project (CMP) (2015) C1

Applicable to both IDP and refugee scenarios, the Toolkit incorporates a wide range of relevant information on managing displaced populations living in communal settings (collective centres, spontaneous sites, established camps, etc.). Large scale displacements caused by recent conflict and natural ... more

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Basic Epidemiology

Bonita, R.; R.Beaglehole, and T. Kjellström World Health Organization WHO (2006) C_WHO

2nd edition

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Field Manual PAHO/WHO Regional Disaster Response Team

Pan American Health Organization PAHOWHO (2010)

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Indicators and Reference Data: A Practical Tool for Project Managers in Humanitarian Aid

Marie Theres Benner and K. Peter Schmitz Malteser International (2011)

Operational Guideline

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Desk-guide for diagnosis and management of TB in children - Africa Edition

Graham, S.M.et al. International Union Against Tuberculosis and Lung Disease (2016) C1

3rd edition

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Tuberculosis. Practical guide for clinicians, nurses, laboratory technicians and medical auxiliaries

Médecins sans Frontières MSF (2022) C2

This Tuberculosis guide has been developed jointly by Médecins Sans Frontières and Partners In Health. It aims at providing useful information to the clinicians and health staff for the comprehensive management of tuberculosis. Forms of susceptible and resistant tuberculosis, tuberculosis in child... more

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Management of Dead Bodies After Disasters: A Field Manual For First Responders. Second Edition
recommended

Cordner, S.; R. Coninx; J.-J. Kim; et al. PAHOWorld Health Organization; ICRC; IFRC (2016) C_WHO

Proper and dignified management of the dead in disasters is one of the three key pillars of humanitarian response and a fundamental factor in facilitating identification of the deceased and helping families discover the fate of their loved ones. This second and updated edition of this hugely success... more

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Developing Pharmacy Practice - A focus on patient care

Wiedenmayer, K. et al. World Health Organization (WHO), International Pharmaceutical Federation (FIP) (2006) C_WHO

English version - This handbook sets out a the new paradigm for pharmacy practice. Its aim is to guide pharmacy educators in pharmacy practice, to educate pharmacy students and to guide pharmacists in practice to update their skills. The handbook, which brings together practical tools and knowledge,... more

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Handbook For Integrated Vector Management

World Health Organization WHO (2012) C_WHO

The intention of this handbook on integrated vector management (IVM) is to provide guidance to the managers of vector-borne disease control programmes, including comparable officials in health and other sectors involved in vector-borne disease control. The target audience is managers and official... more

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Environmental Health In Emergencies And Disasters: A Practical Guide
recommended

Wisner, B; Adams, J Word Health Organization WHO (2022) C_WHO

The present book deals not only with emergency response, but also with measures designed to reduce the impact of disasters on environmental health infrastructure, such as water supply and sanitation facilities. It also aims to strengthen the ability of people to withstand the disruption of their acc... more

Water, Sanitation and Hygiene Standards for Schools in Low-cost Settings recommended

Communicable Diseases Control in Emergencies recommended

Refugee Health recommended

The Camp Managment Toolkit recommended

Management of Dead Bodies After Disasters: A Field Manual For First Responders. Second Edition recommended

Environmental Health In Emergencies And Disasters: A Practical Guide recommended