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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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How the marketing of formula milk influences our decisions on infant feeding

World Health Organization WHO (2022) CC

This report - the largest of its kind to date - draws on the experiences of over 8,500 women and 300 health professionals across eight countries. It exposes the aggressive marketing practices used by the formula milk industry, and highlights impacts on families’ decisions about how to feed their b... 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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National Strategic Framework for the Elimination of Obstetrics Fistula in Nigeria 2011-2015

Federal Ministry of Health, Nigeria (2012) C1

External Link

Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Haemorrhagic Fever -Revised and expanded edition

World Health Organization WHO Regional Office for South-East Asia WHO Regional Office for South-East Asia (2011) CC

Revised and expanded version of the Guidelines

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PLAN D’ACTION MONDIAL POUR COMBATTRE LA RÉSISTANCE AUX ANTIMICROBIENS

World Health Organization WHO (2016) C_WHO

L’Assemblée mondiale de la Santé, tenue en mai 2015, a adopté un Plan d’action mondial pour combattre la résistance aux antimicrobiens, qui définit 5 objectifs: mieux faire connaître et comprendre le problème de la résistance aux antimicrobiens grâce à une communication, une éduc... more

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Road Map for Accelerating the reduction of Maternal and Neonatal Morbidity and Mortality in Malawi

Republic of Malawi, Ministry of Health (2012) C2

The Road Map outlines various strategies which will guide policy makers, development partners, training institutions and service providers in supporting Government efforts towards the attainment of MDGs related to maternal and neonatal health.

External Link

HIV, Hepatitis C, TB, Harm Reduction, and Persons Deprived of Liberty: What Standards Does International Human Rights Law Establish?

G. Sander, R. Lines Health and Human Rights Journal (2016) C2

Health and Human Rights Journal December 2016 / Volume 18 / Number 2 / Papers, 171-182

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Female genital mutilation

World Health Organization WHO (2012) C_WHO

Understanding and addressing violence against women

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Réadaptation à base communautaire Guide de RBC - Module Introduction

World Health Organization (WHO) (2011) C_WHO

Guide de réadaptation à base communautaire (RBC) En 2003, une Consultation internationale consacrée à l’examen de la réadaptation à base communautaire organisée à Helsinki a émis un certain nombre de recommandations essentielles. Par la suite, la RBC a été redéfinie, dans un document ... more

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Interruption of transmission and elimination of leprosy disease - Technical guidance

World Health Organisation (WHO) (2023) C_WHO

This document provides technical guidance on concepts, definitions, indicators, criteria, milestones and tools to assist leprosy programmes in their journey towards the goals of interruption of transmission and elimination of leprosy disease and through the post-elimination period. Importantly, it p... more

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Botswana TB/HIV Policy Guidelines

Ministry of Health, Gaborone, Botswana (2011) C2

This strategic framework marries formerly separate mandates for HIV and TB management in to one, comprehensive collaboration. It provides a structure for how to: strengthen the health care system to respond effectively to both epidemics, reduce the burden of HIV/AIDS in TB patients, and establish a ... more

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Prêt à sauver des vies: Une boîte à outils de préparation pour les soins de santé sexuelle et reproductive dans les situations d’urgence

IAWG on Reproductive Health in Crises, IPPF, JSI, et al. (2021) C1

L’objectif de cette boîte à outils est de rassembler les enseignements et les orientations actuels comme point de départ pour que les parties prenantes entament le travail de préparation en matière de SSR. Dans le cadre de la SSR, le domaine de la préparation est relativement nouveau et en p... more

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Деменция: приоритет общественного здравоохранения

ВОЗ и Международная организация по проблемам болезни Альцгеймера World Health Organitarion (2013) C_WHO

Цель настоящего доклада — повысить осведомленность о деменции как одной из приоритетных проблем общественного здравоохранения, сформу- лировать подход к этой п�... more

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WHO implementation tool for pre-exposure prophylaxis of HIV infection - Module 2

World Health Organization (WHO) World Health Organization (WHO) (2017) C_WHO

Module 2 Community Educators and Advocates July 2017 Module 2: Community educators and advocates. Community educators and advocates are needed to increase awareness about PrEP in their communities. This module provides information on PrEP that should be considered in community-led activities ... more

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Selection of essential medicines for South Africa - an analysis of in-depth interviews with national essential medicines list committee members

Velisha Ann Perumal-Pillay & Fatima Suleman BMC Health Services Research (2017) CC

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Accelerating WHO FCTC Implementation in the WHO South-East Asia Region: A Practical Approach

World Health Organization (WHO), Regional Office for South-East-Asia (2017) C_WHO

The WHO Framework Convention on Tobacco Control (‎WHO FCTC)‎ is an evidence-based treaty that reaffirms the right of all people to the highest standard of health and was developed in response to the globalization of the tobacco epidemic. Member States of the WHO South-East Asia Region have made... more

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National Policy and Strategy for Nursing and Midwifery Services

Islamic Republic of Afghanistan, Ministry of Public Health (2011) C1

Draft May 2011
The first ever nursing and midwifery services policy document in the history of MoPH was developed with the following aims:
1. Create a positive environment for Nursing and Midwifery Policy and Practice
2. Promote education, training and career development for nurses an... more

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Key Populations action plan 2014-2017

The Global Fund To fight AIDS, Tuberculosis and Malaria (2019) C2

Accessed: 08.11.2019

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Hypertension. Screening, Diagnosis, Assessment, and Management of Primary Hypertension in Adults in India. Background Document

National Health Mission; Ministry of Health & Social Welfare India (2016) C1