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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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Standard Treatment Guidelines and Essential Medicines List of Common Medical Conditions in the Kingdom of Swaziland

Government of the Kingdom of Swaziland Ministry of Health, the US President’s Emergency Plan for AIDS Relief, USAID, and SPS (2012) C1

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Field Guide for Implementation of the Strategy and Plan of Action for Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in the Americas

Pan American Health Organization; World Health Organization (Americas) (2014) C_WHO

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Evolution towards the elimination of congenital syphilis in Latin America and the Caribbean: a multicountry analysis

M. F. Silveira; R. G. Ponce de Leon; F. Becerra; et al. PAHO (Pan American Health Organization; World Health Organization); Iris (Institutional Repository); Rev Panam Salud Publica (2019) CC

Original Research Rev Panam Salud Publica 43, 2019 | www.paho.org/journal | https://doi.org/10.26633/RPSP.2019.31

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Guideline on when to start Antiretroviral Therapy and on Pre-Exposure Prophylaxis for HIV

Elaine Abrams, Tsitsi Apollo, Janet Bhila et al. World Health Organization WHO (2015) C_WHO

The new WHO guidelines recommend that people living with HIV be started on antiretrovirals (ARVs) as soon as possible after being diagnosed. Currently, many people living with the virus globally must wait until their CD4 counts fall to 500 to start treatment. According to the WHO, the move to early ... more

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TANZANIA THIRD NATIONAL MULTI-SECTORAL STRATEGIC FRAMEWORK FOR HIV AND AIDS (2013/14 – 2017/18) NOVEMBER, 2013

Ministry of Health and Social Welfare, Tanzania (2013) C1

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Rwanda HIV and AIDS National Strategic Plan (July 2013 - June 2018)

Ministry of Health, Rwanda & Rwanda Biomedical Centre (2013) C2

During the implementation of the National Strategic Plan 2009–2012 on HIV and AIDS, Rwanda has continued its progress towards universal access to HIV and AIDS services. The new HIV and AIDS National Strategic Plan July 2013–June 2018 (thereafter referred to as ‘the NSP’) presented here is se... 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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Health promotion for Latin Americans with intellectual disabilities

G.C Frey, and V. A Temple (2008) CC

salud pública de méxico / vol. 50, suplemento 2 de 2008, pp.167-177. In response to the emerging global concern regarding health and people with intellectual disabilities (ID), several developed countries have established national initiatives to address the unique health needs of this population ... more

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Integration of HIV testing and linkage in family planning and contraception services: implementation brief

World Health Organisation (WHO) (2021) C_WHO

This implementation brief addresses integration of HIV testing services into family planning (FP) services. It is intended as a practical resource for national health programmes seeking to introduce or scale up HIV testing and linkage to HIV prevention, sexually transmitted infection, and antiretrov... more

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Evaluation of UNFPA support to the prevention, response to and elimination of gender-based violence, and harmful practices (2012-2017)

UNFPA; Ministry of Health and Family Welfare, Government of India; National Human Rights Commission (2017) C1

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HIV Preventives Technology and Market Landscape

UNITAID Secretariat, World Health Organization (2014)

2nd edition

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Tanzania National Guidelines for Comprehensive Care Services for PMTCT and Keeping Mothers Alive (Option B+)

Ministry of Health and Social Welfare, Tanzania (2013) C1

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National Guidelines for Prevention and Management of HIV, STIs & Other Blood Borne Infections

Ministry of Health, Rwanda & Rwanda Biomedical Centre (2013) C2

These are integrated National Guidelines 2013 for Prevention and Management of HIV, STIs & Other Blood Borne Infections in accordance with the last guidelines of the World Health Organization (WHO) published in June 2013 and adapted to the Rwandan national context. It thus responds to the need by th... more

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HIV and STI guidelines dissemination workshop for Asia and the Pacific

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

Meeting Report Bangkok, Thailand 8-11 August 2016

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The epidemiology of adolescents living with perinatally acquired HIV: A cross-region global cohort analysis

The Collaborative Initiative for Paediatric HIV Education and Research (CIPHER) Global Cohort Collaboration; A. L. Slogrove; M. Schomaker; M.-A. Davies; et al. PLOS Medicine (2018) CC

PLOS Medicine | https://doi.org/10.1371/journal.pmed.1002514 March 1, 2018

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Rwanda: National Guidelines for Prevention and Management of HIV and STIs

Ministry of Health, Rwanda & Rwanda Biomedical Centre (2016) C2

The target audience for this guideline is primarily for health care providers nurses, doctors, social workers and other people involved in HIV response in Rwanda so that they are capable of offering quality care services to patients over a long time. The new National Guidelines for Prevention and Ma... more