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Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map

Van Katwyk, S. R.; Grimshaw, J. M.; et al (2019) C2

BACKGROUND: Growing political attention to antimicrobial resistance (AMR) offers a rare opportunity for achieving meaningful action. Many governments have developed national AMR action plans, but most have not yet implemented policy interventions to reduce antimicrobial overuse. A systematic evidenc...e map can support governments in making evidence-informed decisions about implementing programs to reduce AMR, by identifying, describing, and assessing the full range of evaluated government policy options to reduce antimicrobial use in humans. METHODS AND FINDINGS: Seven databases were searched from inception to January 28, 2019, (MEDLINE, CINAHL, EMBASE, PAIS Index, Cochrane Central Register of Controlled Trials, Web of Science, and PubMed). We identified studies that (1) clearly described a government policy intervention aimed at reducing human antimicrobial use, and (2) applied a quantitative design to measure the impact. We found 69 unique evaluations of government policy interventions carried out across 4 of the 6 WHO regions. These evaluations included randomized controlled trials (n = 4), non-randomized controlled trials (n = 3), controlled before-and-after designs (n = 7), interrupted time series designs (n = 25), uncontrolled before-and-after designs (n = 18), descriptive designs (n = 10), and cohort designs (n = 2). From these we identified 17 unique policy options for governments to reduce the human use of antimicrobials. Many studies evaluated public awareness campaigns (n = 17) and antimicrobial guidelines (n = 13); however, others offered different policy options such as professional regulation, restricted reimbursement, pay for performance, and prescription requirements. Identifying these policies can inform the development of future policies and evaluations in different contexts and health systems. Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review. CONCLUSIONS: To our knowledge this is the first study to provide policy makers with synthesized evidence on specific government policy interventions addressing AMR. In the future, governments should ensure that AMR policy interventions are evaluated using rigorous study designs and that study results are published. more

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Strengthening genocide prevention through education in Africa: policy brief

UN Educational, Scientific and Cultural Organization UNESCO (2023) CC

African countries, like many regions of the world, are affected by the legacy of atrocity crimes. Genocide, the transatlantic slave trade and slavery, colonialism and post-independence violence committed during dictatorships, not to mention civil war and violent extremism, have severely violated hum... more

Building health system resilience to public health challenges: guidance for implementation in countries

World Health Organization WHO (2024) C_WHO

Health system resilience is not an inevitable byproduct of any investment in health but must be intentionally programmed and developed with necessary input, investment and contextualization. This technical product aims to guide national, subnational, and global health actors to operationalize the co... more

A household-based community health worker programme for non-communicable disease, malnutrition, tuberculosis, HIV and maternal health: a stepped-wedge cluster randomised controlled trial in Neno Distr

Wroe, E.B.; Nhlema, B.; Dunbar, E.L. et al. BMJ Global Health (2021) CC

Background: Community health worker (CHW) programmes are a valuable component of primary care in resource-poor settings. The evidence supporting their effectiveness generally shows improvements in disease-specific outcomes relative to the absence of a CHW programme. In this study, we evaluated expan... more

Kenya Signature Programme Endline Evaluation Report: Bungoma, Busia and WajirCounties.

Obare F., Abuya T., Mukisa S., Odwe G., Kanyuuru L., Cassar C., Mohamed H. Population Council and Save the Children (2018) CC

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Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS
recommended

Universtität Innsbruck; AmC; Univ. Zagreb; Danish Red Cross; et al. OPSIC (2016) C2

In the following you can find 51 Planning tools for Mental Health and Psychosocial support in disasters, that have been derived from an anylsis of 282 Psychosocial Mental Health guidelines and 678 Tools. The single planning tools are structured according to the most relevant topics and can be used i... more

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WHO SAGE values framework for the allocation and prioritization of COVID-19 vaccination

World Health Organization WHO (2020) C_WHO

The WHO SAGE values framework for the allocation and prioritization of COVID-19 vaccination is intended to offer guidance on the prioritization of groups for vaccination when vaccine supply is limited. It provides a values foundation for the objectives of COVID-19 vaccination programmes and links t... more

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Moral Considerations Regarding the New COVID-19 Vaccines

Chairmen of the Committee on Doctrine and the Committee on Pro-Life Activities United States Conference of Catholic Bishops (2021) C1

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Note of the Vatican Covid-19 Commission in collaboration with the Pontifical Academy for Life “Vaccine for all. 20 points for a fairer and healthier world"

Vatican COVID-19 Commission; Pontifical Academy for Life (2021) CC

Vatican lays out 20 points for a universal and fair destination of vaccines, for a fairer and healthier world

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Guía de uso de materiales educativos Educación Escolar Básica 1° y 2° ciclo

Ministerio de Educación y Ciencias - UNICEF Paraguay (2021) C_UNICEF

Guide to the use of educational materials Basic School Education 1st and 2nd cycle La Guía didáctica está dirigida a los docentes del 1° y 2° Ciclo de la Educación escolar Básica, del contexto indígena y tiene el propósito de brindar orientaciones metodológicas para el uso efectivo de m... more

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Poverty Mapping Report, 2013/14

National Institute of Statistics of Rwanda (NISR) (2017) C2

This report complements the previous poverty analysis studies by presenting a series of poverty maps of Rwanda at cell and sector levels, based on data from EICV4 and the 2012 Population and Housing Census. A poverty map is simply a map that shows the incidence of poverty in different areas of the c... more

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Neonatal resuscitation – Understanding challenges & identifying a strategy for implementation in Nepal

Ashish, K.C. Uppsala Universitet (2016) C2

Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine | The aim of this study was to explore the risk factors for stillbirth and neonatal death and change in perinatal outcomes after the introduction of helping Babies Breathe Quality Improvement Cycle in Nepal.

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Humanitarian crises monitoring: Coronavirus in developing countries: Secondary impacts

International Development Committee, Government of the United Kingdom (2021) CC

Developing countries face disastrous healthcare setbacks, hunger and huge international debt as covid-19’s ‘final wave’

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Poverty Trend Analysis Report 2010/11-2013/14

National Institute of Statistics of Rwanda (NISR) (2016) C2

In 2015, the National Institute of Statistics of Rwanda published the Rwanda Poverty Profile Report 2013/2014,which provided a detailed portrait of the extent and nature of poverty in the country, based on information collected by an integrated household living conditions survey (EICV4) undertaken b... more

Integrated Wash, Health And Protection Response To Covid-19 In West And East Hararghe Zones Of Oromia Region, Ethiopia

CARE; USAID (2022) CC

East and West Hararghe zones are located within Oromia region, one of the largest and most populated regions of Ethiopia. Like many parts of Oromia and the country, over 80% of the people in East and West Hararghe rely on agricultural livelihoods. This baseline survey target districts are Babile, an... more

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The impact of HIV and antiretroviral therapy on TB risk in children: a systematic review and meta-analysis

P. J. Dodd; A. J. Prendergas; C. Beecroft; et al. BMJ Journals (2017) CC

BMJ,Dodd PJ, et al. Thorax 2017;72:559–575. doi:10.1136/thoraxjnl-2016-209421

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How to Build Healthcare Personnel’s Confidence in COVID-19 Vaccines

Centers for Disease Control and Prevention CDC (2021) C_CDC

This informational guide presents six strategies for immunization coordinators. It includes tangible actions to promote confidence, communication, and uptake of COVID-19 vaccine, which can help support confidence among providers and patients.

Antimicrobial Resistance Benchmark 2020

Access to Medicine Foundation (2020) C2

The Antimicrobial Resistance Benchmark has evaluated for the second time how the most important players in the antibiotic market are addressing the rise of resistance and the global need for appropriate access to antibiotics. Although we can see progress — it’s hanging by a thread. We have reac... more

Paths to Psychotherapy

Bundespsychotherapeutenkammer (BPtK) (2021) CC

To give you a better idea of when and how psychotherapy can help you, we have written this brochure titled Paths to Psychotherapy. While it is therefore primarily intended for people who have never been treated by a psychotherapist, the brochure can also enable those who have previously had psychoth... more

Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS recommended

Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS
recommended