Profile of Health Crisis Response within District with High Disaster Risk: District of Kapuas, Indonesia
Profile of Health Crisis Response within District with High Risk of Disaster : District of North Bengkulu, Indonesia
Profile of Health Crisis Response within District with High Risk of Natural Disaster : District of Morotai Island, Indonesia
Profile of health crisis response within district, city or area in Indonesia with high risk of natural disaster : District of Bombana, Indonesia
Profile of health crisis response of district, city or area in Indonesia with high risk of natural disaster : District of Ketapang
Profile of health crisis response of area, city or district within Indonesia with high risk of natural disaster : District of Polewali Mandar, Indonesia
Profile of health crisis response of city, area or district in Indonesia with high risk of natural disaster : District of Ende, Indonesia
Profile of health crisis response of district, area or cities in Indonesia with high risk of natural disaster : Kutai City, Indonesia
Profile of health crisis response of potential areas of natural disaster Indonesia : District of Berau
Profile of health crisis response within potential areas of natural disaster in Indonesia : District of Sikka, Indonesia
Profile of health crisis response in potential areas of natural disaster in Indonesia : District of Majene
Profile of Crisis Response of District Health / Disaster Risk: Regency of Pulang Pisau, Indonesia
Profile of Crisis Response of District Health / Disaster Risk: District of South Central Timor, Indonesia
Profile of Health Crisis Response of District with High Risk of Natural Disaster : District of North Kolaka, Indonesia
Profile of Health Crisis Response within District with High Risk of Natural Disaster : District of North Halmahera, Indonesia
Profile of Crisis Response of District Health / Disaster Risk: Bontang City, Indonesia
Profile of Crisis Response of District Health / Disaster Risk: Regency of East Flores, Indonesia
Basic psychosocial support skills are at the core of any Mental Health and PsychosocialSupport (MHPSS) intervention. Such skills are also indispensable for many others involvedin the COVID-19 response, whether they identify as an MHPSS provider or not. Thus, this guide is meant for all COVID-19 resp...onders.
It is available in different languages: English, French, Spanish, Arabic, Amharic, Greek, Chinese, Bahasa Indonesia, Russian
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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.
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