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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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SYRIAN ARAB REPUBLIC response to earthquake: Situation report #1

World Health Organisation (WHO) (2023) C_WHO

TUATION UPDATE In the early morning of 6 February 2023, a magnitude 7.8 earthquake occurred in southern Türkiye near the northern border of Syria. The earthquake was followed 11 minutes later by a magnitude 6.7 aftershock. Many aftershocks are still being felt across the region. Whilst the imp... more

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Training Aid : Tradition Tradition
recommended

World Health Organization WHO (2022) C_WHO

Training slides. Evidence shows that FGM can cause several physical, mental and sexual health complications in girls and women, and in newborns. Health-care providers play an important role in supporting girls and women living with FGM, and improving their health and well-being. They are in a un... more

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Effectiveness of one dose of oral cholera vaccine in response to an outbreak: a case-cohort study

Andrew S Azman, Lucy A Parker, John Rumunu, et al. The Lancet Global Health (2016) CC

Lancet Glob Health 2016; 4: e856–63. Open Access The article "Effectiveness of one dose of oral cholera vaccine in response to an outbreak: a case-cohort study" investigates whether a single dose of the Shanchol oral cholera vaccine can provide effective protection during an outbreak. Conducted i... more

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Doing what matters in times of stress
recommended

World Health Organization WHO (2020) C_WHO

Doing What Matters in Times of Stress: An Illustrated Guide is a stress management guide for coping with adversity. The guide aims to equip people with practical skills to help cope with stress. A few minutes each day are enough to practice the self-help techniques. The guide can be used alone or wi... more

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Buruli ulcer : Mycobacterium ulcerans infection

Dr. K. Asiedu; Dr. Scherpbier, R.; Dr. Raviglione, M. World Health Organization WHO (2000) CC

The purpose of this book is to provide an overview of Buruli ulcer (Mycobacterium ulcerans infection) for the medical and scientific communities and the general public alike.

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Ebola surveillance in countries with no reported cases of Ebola virus disease

World Health Organization (2014) C_WHO

This document provides guidelines on the establisment of early surveillance actions to be carried out in countries where no case of Ebola virus disease has been reported. An alert system should be in place at the following sites: major land border crossing with already affected countries; capital ... more

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Guidance on the prioritization of insecticide-treated nets in situations where resources are limited

World Health Organisation (WHO) (2023) C_WHO

In the context of limited resources, national malaria programmes may need to decide on how to prioritize all WHO-recommended interventions . This guidance document has been developed to support national malaria programmes in prioritization decisions, specifically on the deployment scope and product ... more

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COVID-19 emergency response: Risk communication and community engagement in the Americas
recommended

UN High Commissioner for Refugees UNHCR (2020) CC

Since March, the COVID-19 pandemic has impacted operations and required a different approach to communication with communities. UNHCR communication channels have been rapidly enhanced and enlarged to ensure the continued provision of vital health and protection information.

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Zika Virus Infection: Step by Step Guide on Risk Communication and Community Engagement
recommended

Pan American Health Organization (2016) C_WHO

This document offers suggested risk communication actions in relation to Zika virus infection and other health issues linked to this disease. It is directed toward ministers of health and other health sector actors who, with their national (multidisciplinary) teams for communication and social mobil... more

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UNEPI Immunization Guidelines

Ministry of Health Uganda (2017) C1

Immunization is among the most successful and cost effective public health interventions in preventing a child from dying before celebrating his or her first birthday. It is a priority intervention within Uganda’s minimum health care package which directly contributes to the Ministry of Health vis... more

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RCCE Action Plan Guidance COVID-19 Preparedness and Response
recommended

World Health Organization WHO; UNICEF; IFRC (2020) C_WHO

Risk Communication and Community Engagement (RCCE) is an essential component of your health emergency preparedness and response action plan. This tool is designed to support risk communication, community engagement staff and responders working with national health authorities, and other partners to ... more

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Risk communication and community engagement readiness and response to coronavirus disease (‎COVID-19)‎: interim guidance, 19 March 2020
recommended

World Health Organization WHO (2020) C_WHO

Interim guidance v2, 19 March 2020 This document provides WHO checklists for risk communication and community engagement (RCCE) readiness and initial response for novel coronaviruses (nCoV) recently identified in Wuhan, China (2019-nCoV). The objective of this document is to provide actionable guid... more

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Gender and COVID-19

World Health Organisation (2020) C_WHO

Pandemics and outbreaks have differential impacts on women and men. From risk of exposure and biological susceptibility to infection to the social and economic implications, individuals’ experiences are likely to vary according to their biological and gender characteristics and... more

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2015 Size Estimation of Key Affected Populations in the Philippines

Philippines, Department of Health, Epidemiology Bureau (2016) C1

Estimating the size of key affected populations (KAP) provides important data for planning and implementing an effective response to the HIV epidemic. In the Philippines, these KAP include males who have sex with males (MSM), female sex workers (FSW), and injecting drug users (IDU). Given the diffic... more

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Eau, assainissement et hygiène dans les établissements de santé : mesures pratiques pour parvenir à un accès universel à des soins de qualité

World Health Organization WHO; UNICEF (2019) C_WHO

Personne ne se rend dans un établissement de soins de santé pour tomber malade. On s’y rend pour aller mieux, pour accoucher, pour se faire vacciner. Cependant, des centaines de millions de gens sont confrontés à un risque accru d’infection quand ils se font soigner dans des établissements ... more

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The Impact of Audits of Maternal Deaths and Near Miss at University Hospital of Mother and Child Lagoon (Benin)

BIB Hounkpatin , Obossou AAA, Tonato-Bagnan A, Hounkponou FN, Aboubakar M, Sehlouan C , Tshabu Aguemon C, Sidi IR, Salifou K, Vodouhe MV, Perrin RX Clinics in Mother & Child Health (2015) C2

The maternal deaths audit is one of the three major strategies recommended by WHO for the reduction of maternal and neonatal mortality. Objective: To measure the impact of maternal death and nears miss review on maternal mortality and morbidity after 7 years of practice at the University Hospital... more

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Breastfeeding and COVID-19: Scientific brief

World Health Organization WHO (2020) C_WHO

Breastfeeding is the cornerstone of infant and young child survival, nutrition and development and maternal health. The World Health Organization recommends exclusive breastfeeding for the first 6 months of life, followed by continued breastfeeding with appropriate complementary foods for up to 2 ye... more

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WHO recommends countries move away from the use of western blotting and line immunoassays in HIV testing strategies and algorithms. Policy brief

World Health Organization WHO (2019) C_WHO

WHO recommends replacing western blotting and line immunoassays with simpler tests in HIV testing services. These simpler tests include rapid diagnostic tests (RDTs) that can be used at the point-of-care, and enzyme immunoassays (EIAs). These tests get results to the client faster, produce accura... more

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AstraZeneca ChAdOx1-S/nCoV-19 [recombinant], COVID-19 vaccine

World Health Organization WHO (2021) C_WHO

10 May 2021. Manufactureres: SK Bioscience Co. Ltd. [COVID-19 Vaccine (ChAdOx1-S [recombinant])] Serum Institute of India Pvt. Ltd. [COVISHIELD™, ChAdOx1 nCoV-19 Corona Virus Vaccine (Recombinant)] The ChAdOx1-S/nCoV-19 [recombinant] vaccine is a replication-deficient adenoviral vecto... more

Training Aid : Tradition Tradition recommended

Doing what matters in times of stress recommended

COVID-19 emergency response: Risk communication and community engagement in the Americas recommended

Zika Virus Infection: Step by Step Guide on Risk Communication and Community Engagement recommended

RCCE Action Plan Guidance COVID-19 Preparedness and Response recommended

Risk communication and community engagement readiness and response to coronavirus disease (‎COVID-19)‎: interim guidance, 19 March 2020 recommended

Training Aid : Tradition Tradition
recommended

Doing what matters in times of stress
recommended

COVID-19 emergency response: Risk communication and community engagement in the Americas
recommended

Zika Virus Infection: Step by Step Guide on Risk Communication and Community Engagement
recommended

RCCE Action Plan Guidance COVID-19 Preparedness and Response
recommended

Risk communication and community engagement readiness and response to coronavirus disease (‎COVID-19)‎: interim guidance, 19 March 2020
recommended