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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 Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review.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

National Standards for Midwives: (Core Competencies and Education)

The Republic of the Union of Myanmar, Ministry of Health and Sports, Department of Health Professional Resource Development and Management (2015) C1

The Role of Empathy in Health and Social Care Professionals - Review

Moudatsou, M.; A. Stavropoulou, A. Philalidis, et al. Healthcare Journal (2020) CC

Healthcare 2020, 8(1), 26; https://doi.org/10.3390/healthcare8010026 The current article is an integrative and analytical literature review on the concept and meaning of empathy in health and social care professionals. Empathy, i.e., the ability to understand the perso ... more

ECDC/EFSA/EMA first joint report on the integrated analysis of the consumption of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from humans and food-producing animals

European Centers for Disease Control and Prevention ECDC (2015) C2

The ECDC, the EFSA and the EMA have for the first time jointly explored associations between consumption of antimicrobials in humans and food-producing animals, and antimicrobial resistance in bacteria from humans and food-producing animals, using 2011 and 2012 data currently available from their re ... more

HIV and AIDS in Azerbaijan: A Socio-Cultural Approach

H. Drobna, C. Mallouris Culture and Development Section; Research Gate; UNESCO (2005) C2

Determinants of Maternal Care-Seeking in Kenya

Samwel Mbugua, Kerry L. D. MacQuarrie (2018) C1

DHS Further Analysis Reports No. 111
This study is a theory-driven analysis of the socio-demographic determinants of maternal care seeking in Kenya. Specifically, it examines predisposing, enabling, and need factors potentially associated with use of antenatal care (ANC), health facility delive ... more

Zimbabwe: MEDICINES AND ALLIED SUBSTANCES CONTROL ACT

(2001) C2

CHAPTER 15:03 | Acts 14/1969, 62/1971, 35/1974, 20/1978, 41/1978 (s. 35) 39/1979, 7/1987, 11/1988, 18/1989 (s. 27), 1/1996, 6/2000, 22/2001; R.G.N. 899/1978.

Promoting Health - Guide to national implementationof the Shanghai Declaration

World Health Organization WHO (2018) C_WHO

Guide to national implementation of the Shanghai Declaration describes policy orientations and approaches that can unlock the transformative potential of health promotion for sustainable development. This guide was developed to support country level implementation of the commitments and recommendati ... more

Personal protective equipment for use in a filovirus disease outbreak
recommended

World Health Organization WHO (2016) C_WHO

Rapid Advice Guideline

Guide de prise en charge de l’infection à VIH chez l’enfant et l’adolescent

Sidaction, ID, agence francaise de Dévelopment (2013) CC

L’objectif de ce guide est de favoriser la prise en charge globale et de qualité des nourrissons exposés au VIH et des enfants infectés par le VIH par des équipes pluridisciplinaires, éventuellement non-spécialisées en pédiatrie.Le programme Grandir développe depuis huit ans des activité ... more

Towards Access 2030. WHO Medicines and Health Products Programme Strategic Framework 2016-2030

(2017) C_WHO

Genomic sequencing of SARS-CoV-2: a guide to implementation for maximum impact on public health

World Health Organization WHO (2021) C_WHO

8 January 2021 Sequencing enabled the world to rapidly identify SARS-CoV-2 and develop diagnostic tests and other tools for outbreak management. Continued genome sequencing supports the monitoring of the disease’s spread and evolution of the virus. Accelerated integration of genome sequencing int ... more

Prevalence of Latent Tuberculosis Infection amongst Immigrants entering prison

N. Solé, A. Marco, M Escribano, A. Orcau, et al. Scientific Electronic Library Online (2012) C2

Rev Esp Sanid Penit 2012; 14: 11-16 11

Operational principles for good pharmaceutical procurement

WHO (1999) C_WHO

This document introduces four strategic objectives and twelve operational principles for good pharmaceutical procurement. These objectives and principles have been developed and endorsed by the Interagency Pharmaceutical Coordination Group (IPC), involving the pharmaceutical advisers of the United ... more

Guidelines on the provision of Manual Wheelchairs in less resourced settings

World Health Organization; USAID; ISPO (2008) C_WHO

Raising Clean Hands

UNICEF Joint Call to Action for WASH in Schools (2012) C_UNICEF

Advancing Health, Learning and Equity through WASH in Schools

Community-based rehabilitation: CBR guidelines - Livelihood component
recommended

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, WHO (2010) C_WHO

Available in: English, French, Chinese, Spanish, Russian, Arabic, Thai, Korean, Tajik, Vietnamese, Uzbek http://www.who.int/disabilities/cbr/guidelines/en/

Package for Emergency Resuscitation and Intensive Care Unit

World Health Organization WHO (2003) C_WHO

Humanitarian Needs Assessment: The Good Enough Guide
recommended

Currion, P. The Assessment Capacities Project and Emergency Capacity Building Project (2014) C2

Needs assessment is essential for programme planning, monitoring and evaluation, and accountability, however needs assessment is still a critical weakness of humanitarian response. Organisations need to improve how they do assessments. The Assessment Capacities Project (ACAPS) and the Emergency Capa ... more

Policy Brief No.3 Sustaining Community-Based

Aga Khan Health Service, Kenya (2015)

‘Do not underestimate the capacity of the community; they are smarter and more capable than you think’