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 Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review.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

Global Handwashing Partnership; UNICEF (2020) C_UNICEF

This guidance note developed by UNICEF explains how the WASH sector can implement infection prevention and control measures in households and community settings. It focuses on reducing the exposure to the disease in vulnerable community settings and public spaces, and the transmission of the disease... more

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Promoting mask-wearing during the COVID-19 pandemic: A policymaker’s guide

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

This document draws on scientific evidence from the COVID-19 pandemic and from prior public health research on behaviour change, with the purpose of empowering African Union Member States to promote widespread adoption of masks in the general population. This document complements existing Africa CDC... more

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Handbook on using the ECDC preparedness checklist tool to strengthen preparedness against communication disease outbreaks at migrant reception/detention centres

European Centre for Disease Prevention and Control (2016) C1

The checklist tool described in this handbook is intended for EU/EEA public health authorities who need to assess the capacity for communicable disease prevention and control at migrant reception/detention centres hosting migrants for weeks/months (medium-term) in order to identify gaps and set prio... more

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PIH Guide to the Medical Management of MDR-TB

USAID; TB Care; DRTB Training Network (2014) C1

This guide is a resource for physicians and other health care professionals who provide care and treatment to patients with drug-resistant tuberculosis.

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Checking in on the Checklist

Buissonniere, M. Lifebox and Ariadne Labs (2019) CC

The report and an accompanying series of studies show the global uptake of the World Health Organization (WHO) Surgical Safety Checklist in its first ten years since its launch and recommend ways the Checklist can be more effectively used to improve surgical safety for millions at risk. The report ... more

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Donor Funding for Newborn Survival: An Analysis of Donor-Reported Data, 2002–2010

Pitt1, C.; J. E. Lawn; M. Ranganathan et al. PLoS Med (2012) CC

Background:Neonatal mortality accounts for 43% of global under-five deaths and is decreasing more slowly than maternal or child mortality. Donor funding has increased for maternal, newborn, and child health (MNCH), but no analysis to date has disaggregated aid for newborns. We evaluated if and how a... more

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Spiritual Care at the End of Life

University of Hull (2010) C1

This s a systematic review of English language literature from 2000 to 2010 covering spiritual care in end of life care settings which includes spiritual assessment tools and ongoing intervention models.

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Advance Family Planning - Advocacy Portfolio
recommended

Advance Family Planning (AFP) (2015) C1

Adapted from well-established decision-making concepts and honed through practical application in resource-limited settings, the AFP Advocacy Portfolio includes: 1. Advocate for Family Planning, an introduction to AFP’s approach. 2. Develop a Strategy, featuring a tool to understand your context... more

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The proposed HIV law

UNAIDS (2017) C1

Protecting the fundamental rights of people affected by HIV
Under the Constitution of the Republic of the Union of Myanmar (2008), every citizen - including people living with HIV - has the right to work, access health care, and receive basic education.
However, stigma and discrimination r... more

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Isoniazid Preventive Therapy for the Prevention of Tuberculosis in People Living with HIV/AIDS

L. Hart fhi 360 (2011) C2

Moving avidence into action This document is part of a series of briefs for health program managers interested in implementing evidence-based programs. With a special emphasis on underutilized interventions, they present evidence on programs that work and provide guidance and resources for replicat... more

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A Comparison of Summary Measures of Quality of Service and Quality of Care for Family Planning in Haiti, Malawi, and Tanzania

Mallick, Lindsay, Wenjuan Wang, Temsah, Gheda (2017) C1

DHS Methodological Report No. 20

This study used Service Provision Assessment (SPA) and Demographic and Health Survey (DHS) data from Haiti, Malawi, and Tanzania to compare traditionally used additive methods with a data reduction method—principal component analysis (PCA).
We scored ... more

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Antimicrobial resistance and causes of non-prudent use of antibiotics in human medicine in the EU

European Commission (2017) C1

Antimicrobial resistance (AMR) is an increasing worldwide public health problem with important implications for the European Union (EU). When antibiotics become ineffective, bacterial infections lead to increased morbidity, use of healthcare, mortality and cost. Globally, estimates suggest that ... more

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Appropriate Use of Medical Resources: Antimicrobial Stewardship Toolkit

American Hospital Association AHA (2019) C2

User GuideThe toolkit is composed of three sections: Hospital and Health System Resources - includes a readiness assessment tool, the starting point in developing or enhancing a successful Antimicrobial Stewardship Program (ASP). The tool, a checklist developed by the CDC, should be shared with se... more

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Responses of the Catholic Church to HIV and AIDS in Africa: Lessons learned

Fleischer, K., et al. German Bishops' Conference Research Group on International Church Affairs (2015) CC

An international field study by African and German theologicans and health workers.

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Standard operating procedures for caregivers in COVID-19 treatment centres
recommended

African Union; Africa CDC Centres for Disease Control and Prevention (2020) C1

Caregivers provide invaluable service and support to patients in health facilities. In many health systems, caregivers (often members of the patient’s family or friends) are responsible for providing basic care for a patient, including providing food and drinks, cleaning clothes and bed linen, as ... more

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Interim Recommendations for Adjusting Food Distribution Standard Operating Procedures in the Context of the COVID-19 Outbreak

United Nations Office for the Coordination of Humanitarian Affairs OCHA (2020) C2

This Interim Guidance is intended for field coordinators, site managers and public health personnel, as well as national and local governments and the wider humanitarian community working in humanitarian situations at food distribution sites, who are involved in the decision making and implementatio... more

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COVID-19 and HIV: Moment, Epidemics, Opportunities

UNAIDS (2020) C_WHO

The COVID-19 pandemic has exposed the inadequacy of investments in public health, the persistence of profound economic and social inequalities and the fragility of many key global systems and approaches.

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Namibia: “We don’t feel well treated”: Tuberculosis and the Indigenous San peoples of Namibia

Amnesty International (2021) C1

Tuberculosis (TB) is an infectious disease that usually affects the lungs, though it can affect any organ in the body. It can develop when bacteria spread through droplets in the air. TB can be fatal, but in many cases, TB is preventable and treatable. This report examines the human rights impact of... more

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COVID-19 : santé et sécurité au travail pour les agents de santé
recommended

Organisation Mondiale de la Santé OMS (2021) C_WHO

Orientations provisoires, 2 février 2021 e document est une mise à jour des orientations provisoires de l’Organisation mondiale de la Santé (OMS) intitulées Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers, including key considerations... more

Advance Family Planning - Advocacy Portfolio recommended

Standard operating procedures for caregivers in COVID-19 treatment centres recommended

COVID-19 : santé et sécurité au travail pour les agents de santé recommended

Advance Family Planning - Advocacy Portfolio
recommended

Standard operating procedures for caregivers in COVID-19 treatment centres
recommended

COVID-19 : santé et sécurité au travail pour les agents de santé
recommended