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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 Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review.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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Population Size Estimation of Female Sex Workers In Tbilisi and Batumi, Georgia 2014

Dr. I. Chikovani; Dr. N. Shengelia; L. Sulaberidze; N. Tsereteli; et al. The Global Fund To fight AIDS, Tuberculosis and Malaria; Curatio International Foundation; Tanadgoma (2014) C2

Study Report August 2014 Curatio International Foundation (CIF) and the Association Tanadgoma would like to acknowledge the financial support provided by GFATM under the project “Establishment of evidence base for national HIV/AIDS program by strengthening of HIV/AIDS surveillance system in t... more

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What you need to know -COVID-19

International SOS (2020) C2

Short, imaged-based course and poster that do not require high levels of literacy. These are designed to support locations with weaker health systems that are ill-prepared to deal with COVID-19 (2019-novel coronavirus).

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The Centers for Disease Control and Prevention (CDC) established an office in Malawi in 2001

Center for Disease Control and Prevention CDC (2024) CC2

For over 23 years, CDC has collaborated in Malawi with local and international partners to strengthen health systems. The office works to prevent, detect and respond to diseases. Efforts include building healthcare workforce capacity, strengthening laboratory systems, and increasing the capacity of ... more

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HRI Global Resource Page

HRI Global Resource (2022) CC

Protecting Patients, Supporting Practitioners in Tandem. HRI Global is an independent health consultancy which specialises in Whole Health System Strengthening in the public and private sector by implementing the 12-Pillar Clinical Governance Programme (12-PCGP) in primary, secondary and tertiary h... more

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Lancet Ebola Resource Centre

The Lancet (2014)

The current outbreak of Ebola in west Africa constitutes the largest and most complex to date. Declared a public health emergency of international concern by WHO, the outbreak of a disease with no known treatment or vaccination is proving difficult to contain given the already fragile and under res... more

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The Global Fund COVID-19 Response

The Global Fund (2021) CC

COVID-19 is having a catastrophic impact on the most vulnerable communities around the world and is threatening decades of progress in the fight against HIV, TB and malaria. The Global Fund works with partners, countries and communities to fight COVID-19, adapt lifesaving HIV, TB and malaria program... more

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Suicide first aid guidelines for The Philippines
recommended

American foundation for suicide prevention MHFA (2009) CC

These guidelines are a general set of recommendations about how you can help someone who may be at rick of suicide. Each individual is unique and it is important to tailor your support to that person´s needs. Also, the guidelines are designed to be suitable for providing first aid in the Philippin... more

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Examining malaria treatment and prevention spending efficiency in malaria-endemic countries, 2000–2020

Apeagyei, A. E.; I. Cogswell, N.K. Patel, N.K.; et al. (2024) CC2

Malar J 23, 333 (2024). https://doi.org/10.1186/s12936-024-05165-w. Prioritization of spending on prevention, anti-malarial medicines, and health systems strengthening can fight incident cases and fatalities simultaneously, especially in resource-scarce, malaria-endemic countries. Furthermore, imp... more

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Save our education now: An emergency COVID-19 education plan to get the poorest and most marginalised children safely back to school and learning

Save the Children (2021) C1

January 2021. Save the Children urges governments and donors to take five urgent steps to ensure that children who were in school prior to COVID-19 closures can safely return: Financial support for the world’s poorest families, so they can send their children to school and keep them healthy; ... more

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Core competencies in disaster nursing: Competencies for nurses involved in emergency medical teams (Level 3)

International Council of nurses (2022) C1

Over the last decade, there have been numerous disasters and major emergencies that have profoundly impacted the lives of millions of people worldwide. To support these crises, national and international emergency medical teams (EMTs) are often deployed to assist disaster affected populations. EMTs ... more

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Infection Prevention and Control (IPC) Standard Operating Procedure (SOP) for Training/Meetings in the context of COVID-19
recommended

African Union; Africa CDC Centres for Disease Control and Prevention (2022) CC

1.0 PURPOSE To define the procedure for the conduct of in-person meetings in both healthcare and community settings in response to COVID-19 and with respect to Public Health and Social Measures (PHSMs) to reduce the risk of disease transmission. A general risk assessment must be conducted to inform... more

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Challenges in management and prevention of ischemic heart disease in low socioeconomic status people in LLMICs

Gupta, R.; Yusuf, S. BMC Medicine (2019) CC

Cardiovascular diseases, principally ischemic heart disease (IHD), are the most important cause of death and disability in the majority of low- and lower-middle-income countries (LLMICs). In these countries, IHD mortality rates are significantly greater in individuals of a low socioeconomic status (... more

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A new approach to cholera in Haiti: Report by the Secretary-General (A/71/895)

UN General Assembly (2017) C1

On 19 August 2016, the former UN Secretary-General announced a new approach to cholera in Haiti, consisting of two tracks. Track 1 focuses on reducing cholera transmission, improving access to care, and addressing water, sanitation, and health system issues. Track 2 aims to provide material assistan... more

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Evaluation of Community Management of Acute Malnutrition (CMAM)

Sheila Reed, Camille Eric Kouam, Krishna Belbase et al. United Nations Children’s Fund (UNICEF) Evaluation Office (2013)

This evaluation is the first systematic effort by UNICEF to generate evidence on how well its global as well as country level Community Management of Acute Malnutrition (CMAM) strategies have worked, including their acceptance and ownership in various contexts and appropriateness of investments in c... more

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Myanmar Living Conditions Survey 2017: Key Indicators Report

The Republic of the Union of Myanmar, Ministry of Planning and Finance, Central Statistical Organization et al. (2018) C1

The survey is representative of the Union Territory, its states and regions and urban and rural areas. It was conducted in all the districts and in 296 of the 330 townships of Myanmar. A total of 13,730 households were interviewed. It collects data on the occupations of people, how much income they ... more

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Scoping review of interventions to maintain essential services for maternal, newborn, child and adolescent health and older people during disruptive events

World Health Organization WHO (2021) C_WHO

To support countries in adapting their response to different COVID-19 scenarios, the World Health Organization (WHO) Department of Maternal, Newborn, Child and Adolescent Health and Ageing commissioned this scoping review of published and grey literature. The objective was to identify interventions... more

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Guidance for Mainstreaming Accountability to Affected Population and Core People-Related Issues in the Humanitarian Programme Cycle Through the Cluster System

UN Children's Fund, Nutrition Cluster (2016) C1

This guidance aims to support national clusters to implement their commitments on AAP and core people-related issues both before the beginning of a response (preparedness) and thereafter, throughout the Humanitarian Programme Cycle (HPC)

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Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050

Global Burden of Disease Health Financing Collaborator Network The Lancet (2019) CC

Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and ... more

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Health Sector Transformation in Quality: First Edition 2016

Federal Democratic Republic of Ethiopia -Ministry of Health (2016) C1

A guide to support implementation of health service Quality Improvement activities in Ethiopian health facilities

Suicide first aid guidelines for The Philippines recommended

Infection Prevention and Control (IPC) Standard Operating Procedure (SOP) for Training/Meetings in the context of COVID-19 recommended

Suicide first aid guidelines for The Philippines
recommended

Infection Prevention and Control (IPC) Standard Operating Procedure (SOP) for Training/Meetings in the context of COVID-19
recommended