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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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Management of healthcare workers returning from Ebola-affected areas

European Centre for Disease Prevention and Control (2015) CC2

Infection prevention and control measures for Ebola virus disease

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Pilot study findings on the provision of hygiene kits with reusable sanitary pads: Testing the appropriateness and acceptability of AFRIpads reusable sanitary pads in southwestern (Ugandan) refugee co

UN High Commissioner for Refugees UNHCR (2019) CC

Results from the baseline study indicated that schoolgirls in the southwestern refugee settlement context lacked access to the menstrual hygiene knowledge and products required for them to manage their menstruation in a healthy and dignified manner. Although UNHCR mandates that all women and girls o... more

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Prevalences of dementia and cognitive impairment among older people in sub-Saharan Africa: a systematic review

A.Mavrodaris; J. Powell; M. Thorogood Bull World Health Organ (2013) C2

Bull World Health Organ 2013;91:773–783 | doi: http://dx.doi.org/10.2471/BLT.13.118422 (Submitted: 15 February 2013 – Revised version received: 21 June 2013 – Accepted: 22 June 2013 – Published online: 20 August 2013)

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Integrated TB-HIV Outpatient Clinical Service (OPC) QA/QI Checklist

Family Health International FHI (2007) C1

This field guide is designed for use by FHI 360 staff and partner organizations responsible for ensuring quality clinical services, at both facility and non-facility levels. The guide provides general information on how to organize, implement and follow up on quality assurance/quality improvement cl... more

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Recommandations de l’OMS concernant les soins prénatals pour que la grossesse soit une expérience positive. Résumé d’orientation

Organisation mondiale de la Santé (OMS) (2016) C_WHO

En 2016, en ce début de l’ère des objectifs de développement durable (ODD), la morbidité et la mortalité évitables liées à la grossesse restent inacceptablement élevées. Bien que des progrès substantiels aient été enregistrés, les pays doivent consolider et faire progresser ces acqui... more

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HIV Transmission and AIDS risk (English)

Bundeszentrale für gesundheitliche Aufklärung (BZgA) (2015) C2

Printable sheets with or without pictograms available in 29 languages on the website: https://www.gib-aids-keine-chance.de/materialien/fremdsprachig/kopiervorlagen.php. Languages: Albanian, Amharic, Arabic, Bosnian, Bulgarian, Chinese, Croatian, Czech, Dutch, English, Farsi, French, German, Itali... more

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Pioneer Project: A holistic systems strengthening approach towards Malaria control in Mid-Western Uganda

Malaria Consortium and Comic Relief (2014) C1

Successes and lessons

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Оценка потребностей и ресурсов в области охраны психического здоровья и психосоциальной поддержки
recommended

Всемирная организация здравоохранени (UNHCR) (2013) C1

Данный документ предназначен в первую очередь для работников здравоохранения. Поскольку социальные детерминанты нарушений психического здоровья и психосоциаль�... more

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Immunization in the context of COVID-19 pandemic
recommended

World Health Organization & United Nations Children's Fund (‎‎‎‎‎UNICEF)‎‎‎‎‎. (2020) C_WHO

Immunizations are an essential health service that protect susceptible individuals from vaccine-preventable diseases (VPD).2 By providing timely immunizations, individuals and communities remain protected and the likelihood of a VPD outbreak decreases This publication is available in Arabic, Chines... more

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Guidance on the use of mpox vaccines. Revised edition

Pan American Health Organisation PAHO (2024) CC

Smallpox eradication was certified in 1980. Mpox has been endemic in Central and West African countries since it was first detected in 1958 . It is a zoonosis; cases are often found close to tropical rainforests where various animals carry the orthopoxvirus that causes the disease. In endemic countr... more

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Лекарственная терапия при COVID-19

World Health Organization WHO (2021) C_WHO

Вариативные рекомендации 24 сентября 2021 г. Этот документ представляет собой текущие рекомендации ВОЗ. В них будут вноситься изменения и дополнения, касающиеся нов... more

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Regional implementation framework for elimination of cervical cancer as a public health problem: 2021–2030
recommended

World Health Organisation (WHO) (2023) C_WHO

Cervical cancer continues to be a significant public health problem and a major cause of premature mortality among women, disproportionately affecting the socioeconomically disadvantaged population in low- and middle-income countries (LMICs). In the absence of implementing the known evidence-based, ... more

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Guidance document for a differentiated response to COVID-19 outbreak in urban and rural settings
recommended

World Health Organization WHO; Regional Office for Africa (2020) C_WHO

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Spiritual Needs and Care of Patients from Nurses’ Perspectives on ICU

Ku, Ya Lie Journal of Nursing Care (2016) C2

The semi-structured guided interviewing on ICU nurses in a medical center of southern Taiwan wasapproved by the IRB at the research department of the hospital and data collection was carried out from January toJune 2012. The investigator repeatedly read the transcribed text, and found statements rel... more

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Life expectancy, death, and disability in Haiti, 1990- 2017: a systematic analysis from the Global Burden of Disease Study 2017

Fene, F.; et al. (2020) CC

7. Rev Panam Salud Publica. 2020;44:e13 Haiti faces a double burden of disease. Infectious diseases continue to be an issue, while non-communicable diseases have become a significant burden of disease. More attention must also be focused on the increase in worrying public health issues such as road... more

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Guidance for SARS-CoV-2 samples selection for genomic characterization and surveillance

Pan American Health Organisation PAHO (2021) C_WHO

Genomic sequencing has been an essential tool in generating virological data, driving the laboratory response, and better understanding the dispersal and evolutionary patterns of SARS-CoV-2. In addition to the characterization of the global circulation patterns, early detection of SARS-CoV-2 variant... more

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Interim recommendations for heterologous COVID-19 vaccine schedules

World Health Organization WHO (2021) C_WHO

Overview 16 Dec 2021. This interim guidance pertains to heterologous primary and heterologous boosting schedules of Covid-19 vaccines. It focuses on heterologous schedules combining multiple vaccine platforms (e.g. a vectored vaccine followed by an mRNA vaccine).

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Improved school-based deworming coverage through intersectoral coordination - The Kenya Experience

World Health Organization WHO - Regional Office Africa (2013) C_WHO

A national faecal examination of 27 729 schoolchildren from 395 schools carried out in 2008 indicated that intestinal parasitic worms affected an estimated five million (56.8%) children in Kenya. Existing evidence shows that worm infections lead to reduced literacy levels due to impaired growth a... more

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Policy statement and recommended actions for early detection of breast, cervical, colorectal, oral and prostate cancers in the Eastern Mediterranean Region

World Health Organization WHO; Eastern Mediterranean Region (2022) C_WHO

Policy Statement

Оценка потребностей и ресурсов в области охраны психического здоровья и психосоциальной поддержки recommended

Immunization in the context of COVID-19 pandemic recommended

Regional implementation framework for elimination of cervical cancer as a public health problem: 2021–2030 recommended

Guidance document for a differentiated response to COVID-19 outbreak in urban and rural settings recommended

Оценка потребностей и ресурсов в области охраны психического здоровья и психосоциальной поддержки
recommended

Immunization in the context of COVID-19 pandemic
recommended

Regional implementation framework for elimination of cervical cancer as a public health problem: 2021–2030
recommended

Guidance document for a differentiated response to COVID-19 outbreak in urban and rural settings
recommended