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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 Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review.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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Living Planet Report 2020 - Bending the curve of biodiversity loss

World Wildlife Fund for Nature WWF (2020) C2

At a time when the world is reeling from the deepest global disruption and health crisis of a lifetime, this year’s Living Planet report provides unequivocal and alarming evidence that nature is unraveling and that our planet is flashing red warning signs of vital natural systems failure. The ... more

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Sustaining Effective Coverage for HIV, Tuberculosis, and Malaria in the Context of Transition in Tanzania

Fleisher, Lisa; Mehtsun, Sinit; Arias, Daniel Results for Development (R4D) (2017) C1

R4D conducted a thorough desk review and qualitative fiscal space analysis, 19 interviews about financing for the three diseases and the extent of alignment between public financial management systems and health policy objectives, and a validation workshop with government officials.
Tanzania’... more

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Personal Safety & Security Handbook

Bickley, Shaun CARE International (2014) C1

CARE International’s Personal Safety & Security Handbook has been developed to provide practical personal safety and security advice and guidance to all staff working in CARE offices and field sites throughout the world.
Each section has a detailed list of contents at the beginning and cut-ou... more

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Standards and Normative Mechanisms for Disaster Risk Reduction

Jachia, Lorenza United Nations Economic Commission for Europe (2014) C1

Background Paper prepared for the 2015 Global Assessment Report on Disaster Risk Reduction
The aim of this paper is to help bring voluntary standards into the toolbox of disaster risk reduction, including both by encouraging their use by business and by enhancing their role in legislation and ... more

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Trauma and PTSD in the WHO World Mental Health Surveys

Kessler, R.C., Aguilar-Gaxiola, S., Alonso, J., et al. European of Psychotraumatology (2017) CC

Objective: To review research on associations of trauma type with PTSD in the WHO World Mental Health (WMH) surveys, a series of epidemiological surveys that obtained representative data on trauma-specific PTSD.

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Improving Cultural Competence

Substance Abuse and Mental Health Services Administration SAMHASA (2014) C2

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Standard treatment guidelines oncology India

Ministry of Health & Family Welfare, India (2020) C1

Accessed Febr. 6, 2020

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Not all that bleeds is Ebola
recommended

International Rescue Committee (2020) C1

How has the DRC Ebola outbreak impacted Sexual and Reproductive Health in North-Kivu? Recommendations (more specifics found in the assessment): 1. Sexual and reproductive health needs and services are to be embedded in the EVD response from the outset. 2. Reduce delays at every stage of the patie... more

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Situation Analysis and Recommendations: Antibiotic Use and Resistance in Nepal

Nepal Public Health Foundation (2015) C2

Antibiotic resistance is no longer a concern for the distant future but is a pressing issue, both globally and in Nepal. As part of global effort to preserve the effectiveness of antibiotics, the Global Antibiotic Resistance Partnership (GARP)-Nepal was established to doc... more

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WASH - Nutrition Strategy, West and Central Africa: To maximise the impact of projects addressing malnutrition through interventions of the Water, Sanitiation, Hygiene sector

UN Children's Fund UNICEF (2022) C_UNICEF

This document was prepared by UNICEF Regional Office for West and Central Africa, under the leadership of Christophe Valingot and the review of Joachim Peeters (WASH Specialist) and Arnaud Laillou (Nutrition Specialist), on behalf of the WASH Regional Group and the Nutrition Regional Group. This ... more

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H2P Community Planning and Response Curriculum. District and Community Leaders

Humanitarian Pandemic Preparedness (H2P) Initiative USAID; ICRC; CoreGroup; et al. (2009) CC

The Humanitarian Pandemic Preparedness (H2P) Initiative and its many partners have developed ready-to-use training curricula for district- and community-level leaders, and community volunteers and workers in order to minimize morbidity and mortality in the event of an influenza pandemic. The time t... more

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WFP Regional Drought Response Plan for the Horn of Africa (January – December 2023)

World Food Programme WFP (2023) CC

After five consecutive below-average rains, the humanitarian crisis in the Horn of Africa is expanding and deepening. Combined with insecurity and macroeconomic volatility, the impact of the drought on food and nutrition security has been devastating. Across Ethiopia, Kenya and Somalia, an estima... more

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Tracking aid for global health goals: a systematic comparison of four approaches applied to reproductive, maternal, newborn, and child health

Pitt C.; Grollman C.; Martinez-Alvarez M. et al The Lancet (2018) CC

Four initiatives have estimated the value of aid for reproductive, maternal, newborn, and child health (RMNCH): Countdown to 2015, the Institute for Health Metrics and Evaluation (IHME), the Muskoka Initiative, and the Organisation for Economic Co-operation and Development (OECD) policy marker. We... more

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2020 Heart Failure Society of South Africa perspective on the 2016 European Society of Cardiology Chronic Heart Failure Guidelines

Hitzeroth, J.; Mpe, M.; Klug, E. et al. The South African Medical Journal (2020) CC

Heart failure with a reduced ejection fraction (HFrEF) is a condition frequently encountered by healthcare professionals and, in order to achieve the best outcomes for patients, needs to be managed optimally. This guideline document is based on the European Society of Cardiology Guidelines for the t... more

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World Heart Federation Roadmap on Atrial Fibrillation – A 2020 Update

Freedman, B.; Hindricks, G.; Banerjee, A. Global Heart (2021) CC

The World Heart Federation (WHF) commenced a Roadmap initiative in 2015 to reduce the global burden of cardiovascular disease and resultant burgeoning of healthcare costs. Roadmaps provide a blueprint for implementation of priority solutions for the principal cardiovascular diseases leading to death... more

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Multi-country outbreak of cholera External Situation Report # 23, published 20 February 2025

World Health Organisation (WHO) (2025) C_WHO

Multi-country outbreak of cholera External Situation Report # 23, published 20 February 2025

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Primary Surgery Vol. One: Non-Trauma
recommended

Cotton, M., et al. Global Healp; Deutsche Gesellschaft für Tropenchirurgie; International Coll. Essential Surgery (2016) CC

This comprehensive book has established itself as the most useful text for the medical practitioner in poor-resource settings who is obliged to manage surgical cases. It is particularly adapted for those whose surgical experience is basic or minimal. Importantly, it has extensive advice about pitfal... more

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Health beliefs and health seeking behavior towards lymphatic filariasis morbidity management and disability prevention services in Luangwa District, Zambia: Community and provider perspectives

Maritim, P., A. Silumbwe, J.M. Zulu, et al. (2021) C2

Lymphatic filariasis (LF) infection if untreated results in fluid accumulation in the limbs or breasts (lymphedema) or genitalia (hydrocele) that is painful and causes great discomfort. Morbidity management and disability prevention (MMDP) strategies such as surgery for hydrocele, treatment of acute... more

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National Guidelines on the Management of Moderate Acute Malnutrition for Children under Five Years

World Food Programme (WFP) (2016) C1

Manual of Operations First Edition 2016

Not all that bleeds is Ebola recommended

Primary Surgery Vol. One: Non-Trauma recommended

Not all that bleeds is Ebola
recommended

Primary Surgery Vol. One: Non-Trauma
recommended