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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 Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review.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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Multidrug-resistant tuberculosis in Ethiopia: efforts to expand diagnostic services, treatment and care

F. Biadglegne, U. Sack, A. C. Rodloff (2014) C1

Antimicrobial Resistance and Infection Control 2014,3 :31

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Campus to Clinic Manual. Mentoring Guide for Facilitators

ICAP Nurse Capacity Initiative ICAP; PEPFAR (2013) CC

Building the competence and confidence of nurse and midwife educators ICAP Nurse Capacity Initiative offers its Campus to Clinic Curriculum to empower nursing educators and mentors with a new area of expertise. It opens the door to teach in new ways with confidence. It can be adapted to different c... more

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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

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Improving Basic Training Skills

IFRC - International Federation of Red Cross Red Cresent Societies (2000) CC

Disaster Preparedness Training Programme

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Zika virus disease – Focus on the Americas response: Emergency appeal operations update n° 1 (MDR42003)

International Federation of Red Cross and Red Crescent Societies (2016) CC

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Shaping our Lives: Learning to Live Safe and Healthy, free from HIV/Syphilis & other STIs

National AIDS Control Organization (NACO), Ministry of Health and Family Welfare, Government of India; Ministry of Rural Development; UNIFEM; et al. (2016) C_WHO

A Booklet on Women and HIV/AIDS for Auxiliary Nurse Midwives (ANMs) Accredited Social Health Activists (ASHAs) Anganwadi Workers (AWWs) and Members of Self-help Groups (SHGs)
Version 2

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Prevention and Control of Cholera Uganda
recommended

Ministry of Health Uganda, Control of Diarrheal Diseases (2017) C1

Operational Guidelines for the national and district health workers & planners. These new approaches include use of selective chemotherapy, Rapid Diagnostic Tests (RDTs), Zinc for treatment of cholera in children and complementary use of OCV

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Risk communication and community engagement (RCCE) for monkeypox outbreaks: Interim guidance, 24 June 2022

World Health Organization WHO (2022) C_WHO

The Interim Guidance for Risk Communication and Community Engagement (RCCE) outlines recommendations, considerations and methods to raise awareness, manage risk perception, maintain trust and proactively support people at risk to make informed decisions to protect themselves and others from monkeypo... 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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Integrating science into humanitarian and development planning and practice to enhance community resilience

Melanie Duncan, et al. CAFOD; AfClix; UCL; et al. (2014)

These draft guidelines are designed to encourage humanitarian and development non-governmental organisation (NGO) practitioners to think about the types of scientific information and expertise they may need, how to access and use them, and how to ensure that they are applied in an ethical and accoun... more

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Women’s Mental Health: Promoting a Gendered Approach to Policy and Service Provision

The Women´s Health Council The Women´s Health Council (2007) CC

The mission of the Women’s Health Council is to inform and influence the development of health policy to ensure the maximum health and social gain for women in Ireland. Its membership is representative of a wide range of expertise and interest in women’s health. The Women’s Health Council ... more

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Guidance on Community Physical Distancing During COVID-19 Pandemic

African Union; Africa CDC Centres for Disease Control and Prevention (2020) C_CDC

This guidance document addresses how physical distancing (referred to in previous guidance documents as ‘social distancing’) can help slow down transmission.

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Orientations du Centre Africain de Contrôle et de Prevention des Maladies sur la distanciation physique, communautaire durant la pandémie du COVID-19

African Union; Africa CDC Centres for Disease Control and Prevention (2020) C_CDC

Ce document d'orientation explique comment la distance physique (désignée dans les documents d'orientation précédents sous le nom de «distance sociale») peut aider à ralentir la transmission.

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Using social media to disseminate COVID-19 Information

USAID (2020) CC

A Technical Brief for Breakthrough ACTION Field Teams Social media can be used to collect and address rumors or popular beliefs among target audiences, share evidence-based and timely health information, receive instant feedback on materials, conduct remote trainings, promote awareness of a project... more

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HPV Vaccine Communication: Special considerations for a unique vaccine

World Health Organization WHO (2013) C_WHO

A lack of knowledge about the threat of vaccine-preventable diseases, risks and benefits of vaccines, mistrust of government and health workers, poor service delivery and alternative health or religious beliefs play a role in lower uptake of some vaccines. These challenges underscore the importance ... more

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Understanding the Lives of Caregivers of Children with Cerebral Palsy in Rural Bangladesh: Use of Mixed Methods

Maria A Zuurmond, Ilias Mahmud, Sarah Polack, Jenny Evans Disability, CBR & Inclusive Development Journal (DCIDJ) (2015) CC

This study aims to explore the impact on the lives of caregivers of children with cerebral palsy.

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Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings
recommended

United Nations Office on Drug and Crime UNODC (2017) C1

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From Norm to Practice: A Status Report on Implementation of the Rights of Persons with Disabilities in Kenya

Kenya National Commission on Human Rights (2014) C1

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Still at risk: Restrictions endanger Rohingya women and girls in Bangladesh

Vigaud-Walsh, Francisca Refugees International (RI) (2018) C1

In April 2018, Refugees International (RI) conducted a mission to Bangladesh, to research the GBV (gender-based violence) response for Rohingya women and girls. RI found that the entire humanitarian system is struggling under tremendous constraints in Bangladesh, and protection and health actors do ... more

Humanitarian Needs Assessment: The Good Enough Guide recommended

Prevention and Control of Cholera Uganda recommended

Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings recommended

Humanitarian Needs Assessment: The Good Enough Guide
recommended

Prevention and Control of Cholera Uganda
recommended

Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings
recommended